Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $40.74 / $91.20	Facility		$18.62	$40.74	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.88 / $25.70	Professional		$9.55	$12.88	$25.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $32.36 / $67.61	Facility		$14.45	$32.36	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $22.39	Professional		$9.55	$14.13	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.41 / $16.60	Professional		$5.89	$7.41	$16.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $10,471.29 / $25,118.86	Facility		$14.79	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.49 / $16.60	Professional		$8.91	$13.49	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $14.79 / $30.90	Facility		$6.92	$14.79	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.91 / $21.38	Professional		$5.89	$8.91	$21.38