Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.05 / $21.09 / $101.17	Facility		$13.05	$21.09	$101.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.00 / $19.39	Professional		$10.70	$15.00	$19.39
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $23.61 / $30.60	Professional		$12.65	$23.61	$30.60
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 / $13.50	Professional		$7.76	$9.94	$13.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $6,950.00 / $13,785.00	Facility		$11.81	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $11.81 / $11.81	Professional		$11.81	$11.81	$11.81
United Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $15.18 / $20.23	Facility		$9.27	$15.18	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $10.11 / $21.00	Professional		$7.09	$10.11	$21.00