Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Facility		$34.00	$34.00	$34.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.76	Professional		$3.80	$3.80	$5.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $37.40 / $37.40	Facility		$37.40	$37.40	$37.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $29.75	Professional		$18.00	$18.00	$29.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.00 / $7.00 / $9.52	Facility		$6.00	$7.00	$9.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.00 / $6.25	Professional		$5.00	$6.00	$6.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $7.55 / $12.92	Professional		$6.54	$7.55	$12.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $6.42 / $9.15	Professional		$5.90	$6.42	$9.15