Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $5.04 / $29.35	Facility		$0.83	$5.04	$29.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Professional		$0.55	$0.55	$0.55
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $242.00 / $1,210.00	Facility		$0.67	$242.00	$1,210.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.55 / $1.01 / $1.59	Facility		$0.55	$1.01	$1.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.55	Professional		$0.55	$0.55	$0.55
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 $0.51 / $0.51 / $1.10	Professional		$0.51	$0.51	$1.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.55 / $0.55 / $0.67	Professional		$0.55	$0.55	$0.67