Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $37.54 / $165.49	Facility		$10.19	$37.54	$165.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $11.75 / $15.17	Professional		$4.32	$11.75	$15.17
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $20.94 / $56.00	Professional		$20.94	$20.94	$56.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $28.87 / $60.44	Facility		$9.22	$28.87	$60.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.81 / $19.10	Professional		$8.42	$10.81	$19.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $7.78 / $10.55	Professional		$6.07	$7.78	$10.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.23 / $8,702.00 / $13,785.00	Facility		$9.23	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $9.23 / $12.66	Professional		$9.23	$9.23	$12.66
United Facility/Professional Facility Modifier Low / Median / High Price $6.20 / $13.19 / $27.07	Facility		$6.20	$13.19	$27.07
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.91 / $19.54	Professional		$5.25	$7.91	$19.54