Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.65 / $34.25 / $105.78	Facility		$13.65	$34.25	$105.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.09 / $15.26 / $20.60	Professional		$13.09	$15.26	$20.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $29.09 / $31.99	Professional		$13.22	$29.09	$31.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.32 / $38.97 / $80.79	Facility		$12.32	$38.97	$80.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.28 / $14.42 / $25.81	Professional		$11.28	$14.42	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.40 / $17.63	Professional		$8.11	$10.40	$17.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $13,785.00 / $13,785.00	Facility		$12.34	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $16.02	Professional		$12.34	$12.34	$16.02
United Facility/Professional Facility Modifier Low / Median / High Price $8.28 / $17.63 / $36.18	Facility		$8.28	$17.63	$36.18
United Facility/Professional Professional Modifier Low / Median / High Price $7.40 / $10.58 / $25.40	Professional		$7.40	$10.58	$25.40