Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.30 / $33.25 / $106.97	Facility		$13.30	$33.25	$106.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $14.99 / $20.09	Professional		$6.22	$14.99	$20.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $32.52	Professional		$12.89	$12.89	$32.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $37.53 / $78.77	Facility		$12.02	$37.53	$78.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.99 / $24.78	Professional		$10.96	$13.99	$24.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $9.44 / $13.75	Professional		$6.88	$9.44	$13.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.03 / $13,785.00 / $13,785.00	Facility		$12.03	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $12.03 / $16.51	Professional		$12.03	$12.03	$16.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $10.31 / $19.48	Professional		$6.66	$10.31	$19.48