Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $83.00 / $272.50	Facility		$12.80	$83.00	$272.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $12.80 / $16.93	Professional		$9.98	$12.80	$16.93
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $46.17 / $71.50 / $78.14	Facility		$46.17	$71.50	$78.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $11.08 / $61.44	Professional		$10.49	$11.08	$61.44
AmeriHealth Facility/Professional Professional Modifier CQ Low / Median / High Price $18.37 / $18.37 / $18.37	Professional	CQ	$18.37	$18.37	$18.37
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 $12.88 / $60.80 / $116.06	Professional		$12.88	$60.80	$116.06
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 $13.34 / $15.69 / $20.54	Professional		$13.34	$15.69	$20.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $16.16 / $22.92	Professional		$12.26	$16.16	$22.92