Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.34 / $53.31 / $211.92	Facility		$27.34	$53.31	$211.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $27.56 / $40.63	Professional		$15.80	$27.56	$40.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $64.06	Professional		$45.85	$45.85	$64.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $77.95 / $161.88	Facility		$24.69	$77.95	$161.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.72 / $28.84 / $50.59	Professional		$22.72	$28.84	$50.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.43 / $28.26	Professional		$14.13	$19.43	$28.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $8,702.00 / $13,785.00	Facility		$24.73	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $24.73 / $32.47	Professional		$24.73	$24.73	$32.47
United Facility/Professional Professional Modifier Low / Median / High Price $13.65 / $21.20 / $50.89	Professional		$13.65	$21.20	$50.89