Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $44.67 / $208.93	Facility		$25.12	$44.67	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $34.67	Professional		$12.88	$18.20	$34.67
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $43.65 / $89.13	Facility		$19.05	$43.65	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $58.88	Professional		$12.88	$19.05	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $21.88	Professional		$7.76	$9.12	$21.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $10,471.29 / $25,118.86	Facility		$19.50	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.62 / $21.88	Professional		$17.38	$18.62	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $19.50 / $39.81	Facility		$9.12	$19.50	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.75 / $28.84	Professional		$7.76	$11.75	$28.84