Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $11.43 / $52.94	Facility		$4.55	$11.43	$52.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.70 / $7.04	Professional		$4.37	$4.70	$7.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $10.50 / $10.50	Professional		$10.50	$10.50	$10.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $12.99 / $26.94	Facility		$4.11	$12.99	$26.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.88 / $8.26	Professional		$3.81	$4.88	$8.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.35 / $3.23 / $4.70	Professional		$2.35	$3.23	$4.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $8,702.00 / $13,785.00	Facility		$4.12	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.12 / $4.12 / $6.17	Professional		$4.12	$4.12	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.47 / $3.53 / $8.22	Professional		$2.47	$3.53	$8.22