Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $12.52 / $63.35	Facility		$4.90	$12.52	$63.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.02 / $12.17	Professional		$4.90	$6.02	$12.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $145.60 / $145.60 / $145.60	Facility		$145.60	$145.60	$145.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.11 / $22.37 / $46.65	Facility		$7.11	$22.37	$46.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $8.27 / $14.46	Professional		$6.51	$8.27	$14.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.01 / $10.18	Professional		$4.68	$6.01	$10.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.13 / $13,785.00 / $13,785.00	Facility		$7.13	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $7.13 / $7.13	Professional		$6.08	$7.13	$7.13
United Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $10.18 / $20.89	Facility		$4.78	$10.18	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $3.94 / $6.11 / $9.36	Professional		$3.94	$6.11	$9.36