Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $30.60 / $104.24	Facility		$15.69	$30.60	$104.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $18.11 / $21.41	Professional		$15.06	$18.11	$21.41
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $15.21 / $36.78	Professional		$15.21	$15.21	$36.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $44.75 / $92.93	Facility		$14.17	$44.75	$92.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $16.54 / $29.43	Professional		$13.03	$16.54	$29.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.97 / $20.28	Professional		$9.33	$11.97	$20.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $13,785.00 / $13,785.00	Facility		$14.20	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $14.20 / $18.64	Professional		$14.20	$14.20	$18.64
United Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $20.28 / $41.62	Facility		$9.52	$20.28	$41.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $12.17 / $28.34	Professional		$7.10	$12.17	$28.34