Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.83 / $170.00 / $546.00	Facility		$30.83	$170.00	$546.00
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $55.66 / $113.56 / $162.37	Facility	CO	$55.66	$113.56	$162.37
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $58.63 / $103.00 / $489.77	Facility	CQ	$58.63	$103.00	$489.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $20.21 / $33.68	Professional		$12.00	$20.21	$33.68
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $30.88 / $30.88 / $30.88	Professional	CQ	$30.88	$30.88	$30.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $105.28 / $190.45	Facility		$46.96	$105.28	$190.45
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $25.81 / $106.65	Professional		$13.97	$25.81	$106.65
AmeriHealth Facility/Professional Professional Modifier CQ Low / Median / High Price $21.94 / $28.00 / $43.20	Professional	CQ	$21.94	$28.00	$43.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $163.65 / $163.65	Facility		$80.00	$163.65	$163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $68.00 / $113.16	Professional		$27.56	$68.00	$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 $22.38 / $26.33 / $37.15	Professional		$22.38	$26.33	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.76 / $31.40 / $39.49	Professional		$20.76	$31.40	$39.49