Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $183.06 / $833.87	Facility		$30.01	$183.06	$833.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.31	Professional		$30.01	$30.01	$30.31
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $44.50 / $44.50	Facility		$44.50	$44.50	$44.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $24.95 / $30.01	Facility		$17.73	$24.95	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $3,243.00 / $13,785.00	Facility		$50.00	$3,243.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $30.41 / $30.41	Professional		$22.55	$30.41	$30.41
United Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $15.19 / $15.19	Facility		$15.19	$15.19	$15.19
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $39.11	Professional		$30.01	$30.01	$39.11