Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $11.71 / $59.29	Facility		$1.51	$11.71	$59.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.23	Professional		$1.22	$1.22	$1.23
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $9.89 / $1,489.95	Facility		$1.37	$9.89	$1,489.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.22 / $1.77 / $2.42	Facility		$1.22	$1.77	$2.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $13,785.00 / $13,785.00	Facility		$1.20	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.28 / $1.45	Professional		$1.28	$1.28	$1.45
United Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.50	Professional		$1.22	$1.22	$1.50