Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.02 / $21.51 / $139.90	Facility		$11.02	$21.51	$139.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $12.70 / $13.13	Professional		$11.03	$12.70	$13.13
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $25.85 / $25.85	Professional		$25.85	$25.85	$25.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $33.92 / $70.80	Facility		$10.79	$33.92	$70.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $11.66 / $22.20	Professional		$9.21	$11.66	$22.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $8.50 / $12.36	Professional		$6.18	$8.50	$12.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $13,785.00 / $13,785.00	Facility		$10.82	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $10.82 / $10.82	Professional		$10.82	$10.82	$10.82
United Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $8.50 / $8.50	Facility		$8.50	$8.50	$8.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $9.27 / $21.11	Professional		$6.49	$9.27	$21.11