Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.66 / $5.33 / $20.64	Facility		$2.66	$5.33	$20.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.08 / $4.01	Professional		$2.54	$3.08	$4.01
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9.06 / $9.24 / $52.50	Facility		$9.06	$9.24	$52.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Professional		$2.57	$2.57	$2.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $7.22 / $15.72	Facility		$2.40	$7.22	$15.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $3.43 / $5.16	Professional		$2.22	$3.43	$5.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1.37 / $1.89 / $2.74	Professional		$1.37	$1.89	$2.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $8,702.00 / $13,785.00	Facility		$2.40	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.30	Professional		$2.40	$2.40	$3.30
United Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $2.06 / $5.09	Professional		$1.33	$2.06	$5.09