Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $36.11 / $153.47	Facility		$12.65	$36.11	$153.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $12.75 / $19.55	Professional		$5.46	$12.75	$19.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $12.26 / $24.75	Professional		$12.26	$12.26	$24.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $36.09 / $74.88	Facility		$11.41	$36.09	$74.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.36 / $23.75	Professional		$10.49	$13.36	$23.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $8.99 / $13.07	Professional		$7.52	$8.99	$13.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $8,702.00 / $13,785.00	Facility		$11.44	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $11.44 / $15.01	Professional		$11.44	$11.44	$15.01
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $9.80 / $22.83	Professional		$6.86	$9.80	$22.83