Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $60.36 / $250.90	Facility		$17.67	$60.36	$250.90
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $24.88 / $111.00 / $231.00	Facility	CQ	$24.88	$111.00	$231.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.03 / $30.51	Professional		$14.40	$19.03	$30.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.37 / $104.21 / $165.30	Facility		$48.37	$104.21	$165.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $29.27 / $69.52	Professional		$20.50	$29.27	$69.52
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 $20.38 / $59.78 / $106.98	Professional		$20.38	$59.78	$106.98
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 $22.11 / $26.01 / $33.04	Professional		$22.11	$26.01	$33.04
United Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $28.35 / $36.82	Professional		$18.87	$28.35	$36.82