Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.87 / $3.84	Facility		$0.63	$0.87	$3.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.64	Professional		$0.63	$0.63	$0.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $11.46 / $11.46	Facility		$11.46	$11.46	$11.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $1.18 / $1.49	Facility		$0.63	$1.18	$1.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Professional		$0.63	$0.63	$0.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $8,702.00 / $13,785.00	Facility		$0.60	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.64 / $0.93	Professional		$0.64	$0.64	$0.93
United Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.77	Professional		$0.63	$0.63	$0.77