Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.87 / $7.57 / $25.80	Facility		$3.87	$7.57	$25.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.49 / $6.00	Professional		$3.72	$4.49	$6.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Professional		$2.76	$2.76	$2.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $10.83 / $23.00	Facility		$3.51	$10.83	$23.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $5.28 / $11.88	Professional		$3.28	$5.28	$11.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.76 / $4.01	Professional		$2.00	$2.76	$4.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.51 / $13,785.00 / $13,785.00	Facility		$3.51	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $3.51 / $5.50	Professional		$3.51	$3.51	$5.50
United Facility/Professional Facility Modifier Low / Median / High Price $2.76 / $2.76 / $2.76	Facility		$2.76	$2.76	$2.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.26 / $6.19	Professional		$2.09	$3.26	$6.19