Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $104.33 / $330.00	Facility		$39.36	$104.33	$330.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $41.13 / $71.97	Professional		$32.97	$41.13	$71.97
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $156.58 / $430.10	Facility		$91.34	$156.58	$430.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $67.66 / $82.16	Professional		$45.42	$67.66	$82.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.65 / $163.65 / $163.65	Facility		$163.65	$163.65	$163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $49.90 / $92.20	Professional		$35.50	$49.90	$92.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $110.00	Professional		$45.00	$55.00	$110.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $50.91 / $75.26	Professional		$43.27	$50.91	$75.26
United Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $59.29 / $74.56	Professional		$41.76	$59.29	$74.56