Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $35.20 / $68.80 / $100.00	Facility		$35.20	$68.80	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.98 / $22.99 / $28.73	Professional		$22.98	$22.99	$28.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.60 / $113.21 / $129.94	Facility		$51.60	$113.21	$129.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $18.69 / $34.36	Professional		$18.69	$18.69	$34.36