Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $37.36 / $111.05	Facility		$31.32	$37.36	$111.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Professional		$37.36	$37.36	$37.36
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $9,838.08 / $49,190.40	Facility		$49.68	$9,838.08	$49,190.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.53 / $38.27 / $47.32	Facility		$32.53	$38.27	$47.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $47.32 / $47.32	Professional		$13.74	$47.32	$47.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $8,702.00 / $13,785.00	Facility		$1,165.00	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $36.36 / $36.36	Professional		$34.59	$36.36	$36.36
United Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $42.25 / $49.86	Professional		$42.25	$42.25	$49.86