Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $32.27 / $148.88	Facility		$9.86	$32.27	$148.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.96	Professional		$9.86	$9.86	$9.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $300.81 / $1,504.07	Facility		$10.46	$300.81	$1,504.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.86 / $21.17 / $44.93	Facility		$9.86	$21.17	$44.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $9.86	Professional		$9.86	$9.86	$9.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.18 / $13,785.00 / $13,785.00	Facility		$9.18	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $14.07	Professional		$9.36	$9.36	$14.07
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $54.65	Professional		$9.86	$9.86	$54.65