Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $37.11 / $159.90	Facility		$19.03	$37.11	$159.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $21.44 / $29.42	Professional		$18.26	$21.44	$29.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $44.61 / $44.61	Professional		$44.61	$44.61	$44.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $58.46 / $122.12	Facility		$18.63	$58.46	$122.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $20.14 / $38.20	Professional		$15.73	$20.14	$38.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $15.72 / $26.65	Professional		$12.26	$15.72	$26.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $8,702.00 / $13,785.00	Facility		$18.66	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $18.66 / $22.33	Professional		$18.66	$18.66	$22.33
United Facility/Professional Facility Modifier Low / Median / High Price $14.66 / $14.66 / $14.66	Facility		$14.66	$14.66	$14.66
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.57 / $34.36	Professional		$11.19	$15.57	$34.36