Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $63.10 / $141.25	Facility		$25.70	$63.10	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $38.02	Professional		$14.13	$18.20	$38.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
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 / $16.22 / $28.18	Professional		$12.88	$16.22	$28.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.12 / $21.88	Professional		$6.76	$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 $11.75 / $20.42 / $21.88	Professional		$11.75	$20.42	$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