Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.90 / $5.12 / $22.58	Facility		$3.90	$5.12	$22.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $3.99	Professional		$3.95	$3.95	$3.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.85 / $116.35 / $224.40	Facility		$3.85	$116.35	$224.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.32 / $3.91 / $4.30	Facility		$3.32	$3.91	$4.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $3.95	Professional		$3.95	$3.95	$3.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.97 / $3.97	Professional		$3.57	$3.97	$3.97
United Facility/Professional Professional Modifier Low / Median / High Price $3.95 / $3.95 / $4.84	Professional		$3.95	$3.95	$4.84