Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $25.45 / $100.80	Facility		$13.05	$25.45	$100.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.67 / $20.18	Professional		$10.70	$14.67	$20.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Professional		$30.60	$30.60	$30.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.70 / $43.30 / $89.86	Facility		$13.70	$43.30	$89.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.78 / $28.39	Professional		$10.80	$13.78	$28.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $11.57 / $15.69	Professional		$9.02	$11.57	$15.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $13,785.00 / $13,785.00	Facility		$13.73	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $13.73 / $15.50	Professional		$13.73	$13.73	$15.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $11.77 / $23.57	Professional		$7.84	$11.77	$23.57