Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $25.17 / $107.71	Facility		$6.98	$25.17	$107.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.69 / $8.07 / $16.37	Professional		$6.69	$8.07	$16.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.20 / $11.20 / $11.20	Professional		$11.20	$11.20	$11.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.30 / $44.75 / $93.75	Facility		$14.30	$44.75	$93.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.42 / $29.43	Professional		$5.89	$7.42	$29.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $11.25 / $12.28	Professional		$9.41	$11.25	$12.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $13,785.00 / $13,785.00	Facility		$14.32	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $14.32 / $14.32	Professional		$8.66	$14.32	$14.32
United Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $20.00	Facility		$11.25	$11.25	$20.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $12.28 / $14.32	Professional		$7.16	$12.28	$14.32