Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $7.38 / $36.07	Facility		$2.90	$7.38	$36.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $2.93	Professional		$2.90	$2.90	$2.93
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.39 / $359.30 / $1,796.50	Facility		$2.39	$359.30	$1,796.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.65 / $2.90	Facility		$1.28	$1.65	$2.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $2.90	Professional		$2.90	$2.90	$2.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.41 / $2.41	Professional		$2.02	$2.41	$2.41
United Facility/Professional Professional Modifier Low / Median / High Price $2.90 / $2.90 / $3.55	Professional		$2.90	$2.90	$3.55