Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $7.20 / $26.06	Facility		$2.88	$7.20	$26.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $3.33 / $4.45	Professional		$2.76	$3.33	$4.45
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $2.79	Professional		$2.79	$2.79	$2.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.54 / $10.83 / $23.23	Facility		$3.54	$10.83	$23.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.43 / $2.97 / $7.23	Professional		$2.43	$2.97	$7.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.79 / $3.93	Professional		$2.02	$2.79	$3.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $13,785.00 / $13,785.00	Facility		$3.55	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.58	Professional		$3.55	$3.55	$3.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $3.04 / $5.48	Professional		$1.96	$3.04	$5.48