Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.20 / $25.00	Facility		$0.02	$0.20	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $109.92 / $265.00	Facility		$0.03	$109.92	$265.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.30	Facility		$0.02	$0.03	$0.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $13,785.00 / $13,785.00	Facility		$0.02	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02