Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $7.98 / $19.38	Facility		$2.40	$7.98	$19.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.23	Professional		$2.21	$2.21	$2.23
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $233.32 / $668.97	Facility		$55.25	$233.32	$668.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $3.27 / $4.24	Facility		$2.08	$3.27	$4.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $2.21	Professional		$2.21	$2.21	$2.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $2.71 / $2.91	Professional		$2.71	$2.71	$2.91
United Facility/Professional Professional Modifier Low / Median / High Price $2.21 / $2.21 / $9.61	Professional		$2.21	$2.21	$9.61