Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $9.12 / $38.90	Facility		$5.62	$9.12	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.27 / $7.76	Professional		$3.98	$4.27	$7.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $13.49	Professional		$4.17	$4.17	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $12.30 / $25.70	Facility		$5.37	$12.30	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $4.79 / $7.76	Professional		$3.09	$4.79	$7.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.75 / $5.37	Professional		$2.24	$2.75	$5.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $10,471.29 / $25,118.86	Facility		$5.62	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.57 / $5.37	Professional		$4.37	$4.57	$5.37
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $5.62 / $11.48	Facility		$2.63	$5.62	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.31 / $6.92	Professional		$2.24	$3.31	$6.92