Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $2.40 / $6.30	Facility		$0.80	$2.40	$6.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.81	Professional		$0.80	$0.80	$0.81
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.88 / $113.90 / $563.00	Facility		$0.88	$113.90	$563.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.80 / $1.18 / $1.30	Facility		$0.80	$1.18	$1.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.80 / $0.80	Professional		$0.80	$0.80	$0.80
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 $0.87 / $0.87 / $1.54	Professional		$0.87	$0.87	$1.54
United Facility/Professional Professional Modifier Low / Median / High Price $0.80 / $0.89 / $0.98	Professional		$0.80	$0.89	$0.98