Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $72.44 / $234.42	Facility		$38.02	$72.44	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $44.67	Professional		$28.18	$33.88	$44.67
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $89.13	Professional		$17.38	$28.18	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $83.18 / $173.78	Facility		$37.15	$83.18	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $53.70	Professional		$24.55	$30.90	$53.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $23.44	Professional		$15.14	$17.78	$23.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $10,232.93 / $25,118.86	Facility		$38.02	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $41.69	Professional		$33.11	$34.67	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.02 / $77.62	Facility		$17.78	$38.02	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $54.95	Professional		$15.14	$22.39	$54.95