Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.28 / $9.67 / $35.95	Facility		$3.28	$9.67	$35.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.41	Professional		$1.39	$1.39	$1.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $82.20 / $411.00	Facility		$1.70	$82.20	$411.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.39 / $2.70 / $3.45	Facility		$1.39	$2.70	$3.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.39	Professional		$1.39	$1.39	$1.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $8,702.00 / $13,785.00	Facility		$1.57	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.55 / $2.29	Professional		$1.55	$1.55	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $1.39 / $1.70	Professional		$1.39	$1.39	$1.70