Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.94 / $8.06 / $25.50	Facility		$3.94	$8.06	$25.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $7.63 / $7.94	Professional		$7.62	$7.63	$7.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6.11 / $22.10 / $67.20	Facility		$6.11	$22.10	$67.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.53 / $8.77 / $11.36	Facility		$3.53	$8.77	$11.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $7.92	Professional		$7.63	$7.63	$7.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $10.33	Professional		$7.63	$7.63	$10.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $8.89 / $9.88	Professional		$8.89	$8.89	$9.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $9.35	Professional		$7.63	$7.63	$9.35