Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.31 / $39.77 / $75.17	Facility		$10.31	$39.77	$75.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $45.73 / $59.19	Professional		$34.07	$45.73	$59.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Professional		$168.00	$168.00	$168.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $67.14 / $76.52	Facility		$65.23	$67.14	$76.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $87.66	Professional		$49.01	$49.01	$87.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.66 / $74.92 / $106.74	Professional		$62.66	$74.92	$106.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.11 / $97.15 / $97.15	Professional		$68.11	$97.15	$97.15
United Facility/Professional Professional Modifier Low / Median / High Price $44.64 / $57.61 / $96.02	Professional		$44.64	$57.61	$96.02