Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $634.16 / $3,147.36	Facility		$6.50	$634.16	$3,147.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $6.56	Professional		$6.50	$6.50	$6.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $26.41 / $26.41	Facility		$26.41	$26.41	$26.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.13 / $7.40 / $9.57	Facility		$6.13	$7.40	$9.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $6.25	Professional		$6.25	$6.25	$6.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.83 / $15.26 / $13,785.00	Facility		$10.83	$15.26	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $6.50 / $6.50	Professional		$6.33	$6.50	$6.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $6.50 / $7.97	Professional		$6.50	$6.50	$7.97