Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $9.36 / $25.59	Facility		$5.64	$9.36	$25.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.14	Professional		$9.05	$9.05	$9.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $5.63 / $28.62	Facility		$5.63	$5.63	$28.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $9.50 / $12.30	Facility		$8.53	$9.50	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.05	Professional		$9.05	$9.05	$9.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.88 / $13,785.00 / $13,785.00	Facility		$4.88	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.15 / $4.15 / $17.37	Professional		$4.15	$4.15	$17.37
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $339.49	Professional		$9.05	$9.05	$339.49