Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $33.39 / $180.15	Facility		$13.30	$33.39	$180.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $15.40 / $21.51	Professional		$12.76	$15.40	$21.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $51.62 / $177.68 / $337.67	Facility		$51.62	$177.68	$337.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $59.18 / $123.22	Facility		$18.79	$59.18	$123.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $13.99 / $38.72	Professional		$11.23	$13.99	$38.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $14.79 / $19.42	Professional		$10.76	$14.79	$19.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $8,702.00 / $13,785.00	Facility		$18.82	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $18.82 / $18.82	Professional		$16.51	$18.82	$18.82
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $16.13 / $25.47	Professional		$10.76	$16.13	$25.47