Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $50.69 / $156.36	Facility		$10.09	$50.69	$156.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $11.62 / $15.59	Professional		$4.32	$11.62	$15.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $27.69 / $27.69	Professional		$27.69	$27.69	$27.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $28.87 / $59.71	Facility		$9.11	$28.87	$59.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.60 / $18.59	Professional		$8.42	$10.60	$18.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.69 / $10.42	Professional		$5.99	$7.69	$10.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.11 / $13,785.00 / $13,785.00	Facility		$9.11	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $9.11 / $12.51	Professional		$9.11	$9.11	$12.51
United Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $7.82 / $18.20	Professional		$5.21	$7.82	$18.20