Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $24.84 / $98.69	Facility		$12.74	$24.84	$98.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $12.83 / $19.69	Professional		$12.21	$12.83	$19.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $27.14 / $27.14	Professional		$27.14	$27.14	$27.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.50 / $36.09 / $75.38	Facility		$11.50	$36.09	$75.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.57 / $23.75	Professional		$10.49	$13.57	$23.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $9.05 / $13.16	Professional		$6.58	$9.05	$13.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $6,950.00 / $13,785.00	Facility		$11.52	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $11.52 / $14.95	Professional		$11.52	$11.52	$14.95
United Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $14.81 / $19.73	Facility		$9.05	$14.81	$19.73
United Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $9.86 / $18.64	Professional		$6.58	$9.86	$18.64