Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $162.10 / $439.00	Facility		$38.35	$162.10	$439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $38.35 / $51.24	Professional		$33.15	$38.35	$51.24
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $97.68 / $401.78 / $2,057.78	Facility		$97.68	$401.78	$2,057.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.99 / $94.55 / $196.31	Facility		$41.99	$94.55	$196.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.22 / $53.25 / $119.90	Professional		$31.22	$53.25	$119.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $44.98 / $62.12	Professional		$29.99	$44.98	$62.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $8,702.00 / $13,785.00	Facility		$29.99	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $29.99 / $29.99	Professional		$29.99	$29.99	$29.99
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $63.63	Professional		$17.98	$25.70	$63.63