Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $33.11 / $102.33	Facility		$13.18	$33.11	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $64.57	Professional		$7.08	$9.33	$64.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $22.91 / $46.77	Facility		$10.00	$22.91	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $15.14	Professional		$6.76	$8.51	$15.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.13 / $11.75	Professional		$4.17	$5.13	$11.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $9,549.93 / $25,118.86	Facility		$10.23	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.55 / $11.48	Professional		$6.17	$9.55	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $10.23 / $21.38	Facility		$4.79	$10.23	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.17 / $15.14	Professional		$4.17	$6.17	$15.14