Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $52.48	Professional		$21.88	$28.84	$52.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $58.88	Facility		$31.62	$31.62	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $31.62	Professional		$23.44	$23.44	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $61.66 / $85.11	Professional		$38.90	$61.66	$85.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $28.84 / $58.88	Facility		$18.62	$28.84	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $47.86	Professional		$24.55	$28.84	$47.86