Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.05 / $8.94 / $27.40	Facility		$3.05	$8.94	$27.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.59	Professional		$0.59	$0.59	$0.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $19.85 / $2,546.90	Facility		$2.75	$19.85	$2,546.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.95 / $1.23	Facility		$0.59	$0.95	$1.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.59	Professional		$0.59	$0.59	$0.59
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 $0.59 / $0.59 / $0.86	Professional		$0.59	$0.59	$0.86
United Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $1.57 / $1.57	Facility		$1.57	$1.57	$1.57
United Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.72	Professional		$0.59	$0.59	$0.72