Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.64 / $18.80 / $74.77	Facility		$9.64	$18.80	$74.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $10.25 / $21.38	Professional		$9.25	$10.25	$21.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.77 / $19.77 / $19.77	Professional		$19.77	$19.77	$19.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $27.43 / $57.10	Facility		$8.71	$27.43	$57.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.18 / $18.07	Professional		$7.94	$10.18	$18.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.98 / $6.85 / $9.97	Professional		$4.98	$6.85	$9.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $13,785.00 / $13,785.00	Facility		$8.72	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $8.72 / $11.45	Professional		$8.72	$8.72	$11.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $7.48 / $18.46	Professional		$5.23	$7.48	$18.46