Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $39.27 / $119.76	Facility		$19.03	$39.27	$119.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $17.23 / $37.10	Professional		$12.16	$17.23	$37.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $26.74 / $26.74	Professional		$26.74	$26.74	$26.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $23.10 / $37.92	Facility		$19.64	$23.10	$37.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $22.63 / $48.54	Professional		$10.28	$22.63	$48.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $26.79 / $41.72	Professional		$17.10	$26.79	$41.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $105.67 / $13,785.00	Facility		$17.55	$105.67	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.86 / $23.62 / $54.76	Professional		$15.86	$23.62	$54.76
United Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $12.64 / $12.64	Facility		$12.64	$12.64	$12.64
United Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $22.60 / $36.09	Professional		$11.41	$22.60	$36.09