Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.33 / $13.33 / $72.20	Facility		$5.33	$13.33	$72.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $6.15 / $7.84	Professional		$5.11	$6.15	$7.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $12.64 / $12.64	Professional		$12.64	$12.64	$12.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.80 / $15.16 / $31.57	Facility		$4.80	$15.16	$31.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $5.72 / $9.81	Professional		$4.45	$5.72	$9.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $4.07 / $6.89	Professional		$3.17	$4.07	$6.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $8,702.00 / $13,785.00	Facility		$4.82	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $4.82 / $6.25	Professional		$4.82	$4.82	$6.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $4.13 / $9.61	Professional		$2.89	$4.13	$9.61