Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $7.09 / $27.60	Facility		$1.55	$7.09	$27.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Professional		$0.21	$0.21	$0.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.26 / $3.49 / $308.97	Facility		$0.26	$3.49	$308.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.20 / $0.21	Facility		$0.15	$0.20	$0.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $0.21	Professional		$0.21	$0.21	$0.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $13,785.00 / $13,785.00	Facility		$0.22	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.28	Professional		$0.23	$0.23	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.21 / $1.49	Professional		$0.21	$0.21	$1.49