Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $107.00 / $353.50	Facility		$25.17	$107.00	$353.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.84 / $25.20 / $36.46	Professional		$15.84	$25.20	$36.46
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $90.65 / $90.65	Professional		$90.65	$90.65	$90.65
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 $38.86 / $70.95 / $113.94	Professional		$38.86	$70.95	$113.94
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 $28.53 / $30.71 / $45.99	Professional		$28.53	$30.71	$45.99
United Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $37.24 / $47.68	Professional		$24.15	$37.24	$47.68