Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $113.22 / $445.70	Facility		$29.83	$113.22	$445.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.51	Professional		$3.22	$3.22	$3.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.49 / $15.43 / $1,104.00	Facility		$4.49	$15.43	$1,104.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.22 / $4.22 / $5.46	Facility		$3.22	$4.22	$5.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $3.22	Professional		$3.22	$3.22	$3.22
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 $4.09 / $4.09 / $4.84	Professional		$4.09	$4.09	$4.84
United Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.68 / $9.01	Professional		$3.22	$3.68	$9.01