Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $29.51 / $95.50	Facility		$15.14	$29.51	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $21.88	Professional		$10.00	$12.88	$21.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $69.18	Facility		$14.79	$33.11	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $21.88	Professional		$10.00	$14.79	$21.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $16.98	Professional		$6.03	$7.59	$16.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $10,471.29 / $25,118.86	Facility		$15.14	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.13 / $16.98	Professional		$13.49	$14.13	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.14 / $30.90	Facility		$7.08	$15.14	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.12 / $22.39	Professional		$5.89	$9.12	$22.39