Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $95.50	Facility		$19.95	$30.20	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $28.18	Professional		$10.96	$12.88	$28.18
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $33.88 / $70.79	Facility		$15.14	$33.88	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.14 / $22.39	Professional		$10.00	$15.14	$22.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $17.38	Professional		$6.17	$7.76	$17.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $10,471.29 / $25,118.86	Facility		$15.49	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $17.38	Professional		$13.49	$16.22	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $15.49 / $31.62	Facility		$7.24	$15.49	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.33 / $22.39	Professional		$6.17	$9.33	$22.39