Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $17.78 / $52.48	Facility		$6.76	$17.78	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $18.62	Professional		$3.98	$5.01	$18.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $12.88 / $26.92	Facility		$5.75	$12.88	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.75 / $8.71	Professional		$3.80	$5.75	$8.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.95 / $6.61	Professional		$2.34	$2.95	$6.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $10,471.29 / $25,118.86	Facility		$5.89	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.17 / $6.61	Professional		$5.13	$6.17	$6.61
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $5.89 / $12.30	Facility		$2.75	$5.89	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.55 / $8.51	Professional		$2.34	$3.55	$8.51