Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $36.39 / $9,795.87	Facility		$15.60	$36.39	$9,795.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.77	Professional		$15.61	$15.61	$15.77
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $25.04 / $25.04 / $25.04	Facility		$25.04	$25.04	$25.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.13 / $17.46 / $22.59	Facility		$15.13	$17.46	$22.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $15.61	Professional		$15.61	$15.61	$15.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $3,243.00 / $13,785.00	Facility		$29.60	$3,243.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.55 / $15.55 / $15.87	Professional		$15.55	$15.55	$15.87
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $21.35	Professional		$15.61	$15.61	$21.35