Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $30.26 / $84.37	Facility		$20.97	$30.26	$84.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.57 / $30.57 / $30.57	Professional		$30.57	$30.57	$30.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $37.10 / $37.10	Professional		$37.10	$37.10	$37.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $34.13 / $37.54	Facility		$29.01	$34.13	$37.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $33.71 / $33.71	Professional		$17.23	$33.71	$33.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.17 / $13,785.00 / $13,785.00	Facility		$34.17	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $34.17 / $35.97 / $40.32	Professional		$34.17	$35.97	$40.32