Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $12.53 / $40.57	Facility		$6.47	$12.53	$40.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.77 / $7.56	Professional		$5.01	$5.77	$7.56
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $12.24 / $12.24	Professional		$12.24	$12.24	$12.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $14.43 / $29.65	Facility		$4.51	$14.43	$29.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.30 / $9.28	Professional		$4.13	$5.30	$9.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $3.82 / $6.25	Professional		$2.98	$3.82	$6.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $8,702.00 / $13,785.00	Facility		$4.53	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $4.53 / $5.94	Professional		$4.53	$4.53	$5.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.88 / $9.58	Professional		$2.59	$3.88	$9.58