Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $23.44 / $213.80	Facility		$7.41	$23.44	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $10.00	Professional		$3.98	$5.01	$10.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $141.25 / $204.17	Facility		$102.33	$141.25	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.30 / $26.30	Facility		$5.62	$12.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.50 / $8.32	Professional		$3.72	$5.50	$8.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.88 / $6.46	Professional		$2.29	$2.88	$6.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $9,120.11 / $25,118.86	Facility		$5.75	$9,120.11	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $6.46	Professional		$5.01	$6.03	$6.46
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $5.75 / $22.39	Facility		$2.69	$5.75	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.47 / $8.32	Professional		$2.29	$3.47	$8.32