Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $61.66 / $363.08	Facility		$26.30	$61.66	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $181.97	Professional		$61.66	$61.66	$181.97
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.15	Facility		$0.15	$0.15	$0.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.04 / $0.05	Facility		$0.03	$0.04	$0.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $11,481.54 / $25,118.86	Facility		$0.06	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
United Facility/Professional Facility Modifier Low / Median / High Price $0.06 / $0.10 / $0.10	Facility		$0.06	$0.10	$0.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03