Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $37.88 / $229.62	Facility		$6.05	$37.88	$229.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.77 / $5.80	Professional		$2.35	$3.77	$5.80
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $39.95 / $597.83	Facility		$5.79	$39.95	$597.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.52 / $10.83 / $23.10	Facility		$3.52	$10.83	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.06 / $3.75 / $7.09	Professional		$2.06	$3.75	$7.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.77 / $3.63	Professional		$2.02	$2.77	$3.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $13,785.00 / $13,785.00	Facility		$3.53	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.53 / $3.53	Professional		$2.88	$3.53	$3.53
United Facility/Professional Facility Modifier Low / Median / High Price $2.37 / $5.04 / $10.34	Facility		$2.37	$5.04	$10.34
United Facility/Professional Professional Modifier Low / Median / High Price $2.12 / $3.28 / $5.14	Professional		$2.12	$3.28	$5.14