Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $53.70 / $389.05	Facility		$15.85	$53.70	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $22.91	Professional		$8.91	$10.96	$22.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $28.18 / $58.88	Facility		$12.59	$28.18	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.30 / $18.62	Professional		$8.32	$12.30	$18.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $14.45	Professional		$5.13	$6.46	$14.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $9,772.37 / $25,118.86	Facility		$12.88	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.75 / $14.45	Professional		$11.22	$11.75	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.88 / $26.30	Facility		$6.03	$12.88	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $18.62	Professional		$5.13	$7.76	$18.62