Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $56.23 / $363.08	Facility		$4.17	$56.23	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $9.12	Professional		$2.00	$2.00	$9.12
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.16 / $10.96	Facility		$2.75	$3.16	$10.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.57 / $3.02	Professional		$2.45	$2.57	$3.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10,715.19 / $25,118.86	Facility		$9.33	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.02 / $3.02	Professional		$2.69	$3.02	$3.02
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.24 / $7.41	Facility		$6.03	$7.24	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.95 / $3.39	Professional		$2.75	$2.95	$3.39