Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $27.26 / $167.00	Facility		$10.33	$27.26	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $11.01 / $16.37	Professional		$9.15	$11.01	$16.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $9.13 / $44.24	Professional		$6.85	$9.13	$44.24
AmeriHealth Facility/Professional Professional Modifier CQ Low / Median / High Price $15.28 / $15.28 / $15.28	Professional	CQ	$15.28	$15.28	$15.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.18 / $155.18 / $155.18	Facility		$155.18	$155.18	$155.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $67.08 / $113.16	Professional		$14.98	$67.08	$113.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $94.00	Professional		$45.00	$55.00	$94.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $12.93 / $19.13	Professional		$7.30	$12.93	$19.13
United Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $16.07 / $18.26	Professional		$12.45	$16.07	$18.26