Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $14.45 / $48.98	Facility		$4.90	$14.45	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $13.18	Professional		$2.00	$3.02	$13.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $8.71 / $18.20	Facility		$3.89	$8.71	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.95 / $5.62	Professional		$2.40	$2.95	$5.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.00 / $4.17	Professional		$1.58	$2.00	$4.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $10,471.29 / $25,118.86	Facility		$3.98	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.55 / $4.07	Professional		$3.31	$3.55	$4.07
United Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.98 / $8.13	Facility		$1.86	$3.98	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $2.40 / $5.37	Professional		$1.58	$2.40	$5.37