Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.90 / $60.26	Facility		$12.30	$30.90	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.51 / $10.96	Professional		$6.03	$8.51	$10.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $20.89 / $43.65	Facility		$9.33	$20.89	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.33 / $13.80	Professional		$6.31	$9.33	$13.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.79 / $10.96	Professional		$3.89	$4.79	$10.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10,471.29 / $25,118.86	Facility		$9.55	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $8.51	Professional		$5.75	$6.92	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $9.55 / $19.95	Facility		$4.57	$9.55	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.75 / $10.96	Professional		$3.89	$5.75	$10.96