Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.25 / $8.31 / $34.22	Facility		$4.25	$8.31	$34.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $4.29 / $6.58	Professional		$4.08	$4.29	$6.58
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Facility		$126.00	$126.00	$126.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $12.27 / $25.20	Facility		$3.85	$12.27	$25.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $6.03 / $8.52	Professional		$3.50	$6.03	$8.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $3.25 / $5.50	Professional		$2.52	$3.25	$5.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $13,785.00 / $13,785.00	Facility		$3.85	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.85 / $3.85 / $5.05	Professional		$3.85	$3.85	$5.05
United Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $3.77 / $3.92	Facility		$1.93	$3.77	$3.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.31 / $3.30 / $8.14	Professional		$2.31	$3.30	$8.14