Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $41.84 / $200.82	Facility		$19.42	$41.84	$200.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $26.49 / $31.80	Professional		$19.42	$26.49	$31.80
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $393.30 / $393.30 / $393.30	Facility		$393.30	$393.30	$393.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.72 / $73.62 / $153.37	Facility		$32.72	$73.62	$153.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $34.04 / $72.88	Professional		$19.75	$34.04	$72.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $35.14 / $60.98	Professional		$23.43	$35.14	$60.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $8,702.00 / $13,785.00	Facility		$23.43	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $23.43 / $23.43	Professional		$23.43	$23.43	$23.43
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $28.45 / $42.38	Professional		$15.00	$28.45	$42.38