Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $22.19 / $75.61	Facility		$11.38	$22.19	$75.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $11.47 / $17.18	Professional		$9.38	$11.47	$17.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $26.68 / $26.68	Professional		$26.68	$26.68	$26.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $32.47 / $67.41	Facility		$10.28	$32.47	$67.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $12.09 / $21.17	Professional		$9.36	$12.09	$21.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $8.68 / $14.71	Professional		$6.77	$8.68	$14.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.30 / $13,785.00 / $13,785.00	Facility		$10.30	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $10.30 / $13.52	Professional		$10.30	$10.30	$13.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $8.83 / $20.55	Professional		$5.88	$8.83	$20.55