Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $39.81	Professional		$22.91	$32.36	$39.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $10,471.29 / $25,703.96	Facility		$28.18	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $17.78	Professional		$10.00	$14.45	$17.78
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.49 / $112.20	Facility		$8.32	$15.49	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.60 / $34.67	Professional		$10.72	$16.60	$34.67