Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.48 / $27.26 / $80.79	Facility		$9.48	$27.26	$80.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.27 / $249.13 / $790.26	Facility		$27.27	$249.13	$790.26
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Professional		$75.22	$75.22	$75.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $22.80 / $25.08	Facility		$19.38	$22.80	$25.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $8,702.00 / $13,785.00	Facility		$22.35	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Professional		$21.18	$21.18	$21.18
United Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $19.57 / $19.57	Facility		$19.57	$19.57	$19.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $23.53 / $26.37	Professional		$22.35	$23.53	$26.37