Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $58.88	Facility		$12.02	$14.13	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $13.18	Professional		$5.01	$7.08	$13.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $20.89 / $43.65	Facility		$9.33	$20.89	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.31 / $13.49	Professional		$4.57	$6.31	$13.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.68 / $7.76	Professional		$3.80	$4.68	$7.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10,471.29 / $25,118.86	Facility		$9.33	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $8.32	Professional		$6.31	$6.31	$8.32
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $9.33 / $19.50	Facility		$4.47	$9.33	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.62 / $10.23	Professional		$3.80	$5.62	$10.23