Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $4.57 / $15.70	Facility		$0.95	$4.57	$15.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $3.22	Professional		$3.19	$3.19	$3.22
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $95.22 / $229.56	Facility		$2.84	$95.22	$229.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.19 / $9.88 / $12.78	Facility		$3.19	$9.88	$12.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.19 / $3.19 / $5.21	Professional		$3.19	$3.19	$5.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.48 / $3.46	Professional		$2.34	$2.48	$3.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.49 / $13,785.00 / $13,785.00	Facility		$2.49	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $12.03	Professional		$3.36	$3.36	$12.03
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.73 / $19.80	Facility		$11.22	$17.73	$19.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $3.19 / $3.84	Professional		$1.28	$3.19	$3.84