Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $25.38 / $141.49	Facility		$0.27	$25.38	$141.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.14	Professional		$0.10	$0.10	$0.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.14 / $167.00 / $835.00	Facility		$0.14	$167.00	$835.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.28	Professional		$0.23	$0.23	$0.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.25 / $1.81	Facility		$0.10	$0.25	$1.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Professional		$0.10	$0.10	$0.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.15	Professional		$0.11	$0.11	$0.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $13,785.00 / $13,785.00	Facility		$0.12	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.14	Professional		$0.12	$0.12	$0.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.11 / $0.12	Professional		$0.10	$0.11	$0.12