Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $28.49 / $85.83	Facility		$11.36	$28.49	$85.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.47	Professional		$11.36	$11.36	$11.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $402.88 / $2,014.41	Facility		$14.65	$402.88	$2,014.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $33.32 / $63.69	Facility		$11.36	$33.32	$63.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $11.36	Professional		$11.36	$11.36	$11.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.00 / $13,785.00 / $13,785.00	Facility		$3,243.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $28.29	Professional		$12.12	$12.12	$28.29
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $54.87	Professional		$11.36	$11.36	$54.87