Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $123.03 / $363.08	Facility		$2.34	$123.03	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $4.17	Professional		$1.00	$1.00	$4.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.82 / $2.82	Facility		$2.82	$2.82	$2.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.45 / $0.58	Facility		$0.37	$0.45	$0.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $0.37	Professional		$0.37	$0.37	$0.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $10,471.29 / $25,118.86	Facility		$1.58	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.45 / $0.45	Professional		$0.37	$0.45	$0.45
United Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.35 / $1.38	Facility		$1.00	$1.35	$1.38
United Facility/Professional Professional Modifier Low / Median / High Price $0.37 / $0.37 / $0.45	Professional		$0.37	$0.37	$0.45