Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $194.98 / $389.05	Facility		$25.12	$194.98	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $102.33	Professional		$19.95	$28.18	$102.33
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $72.44 / $72.44 / $72.44	Professional	CQ	$72.44	$72.44	$72.44
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $46.77 / $79.43	Professional		$22.91	$46.77	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $81.28	Professional		$43.65	$72.44	$81.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $48.98	Professional		$29.51	$33.88	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $37.15 / $40.74	Facility		$33.11	$37.15	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $48.98	Professional		$24.55	$34.67	$48.98