Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $25.45 / $105.27	Facility		$13.05	$25.45	$105.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.67 / $19.70	Professional		$10.70	$14.67	$19.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $24.27 / $24.27	Professional		$24.27	$24.27	$24.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $37.53 / $77.30	Facility		$11.79	$37.53	$77.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.78 / $24.26	Professional		$10.80	$13.78	$24.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.94 / $14.14	Professional		$7.76	$9.94	$14.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $8,702.00 / $13,785.00	Facility		$11.81	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $11.81 / $15.50	Professional		$11.81	$11.81	$15.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $10.11 / $24.99	Professional		$6.75	$10.11	$24.99