Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $35.72 / $82.69	Facility		$19.70	$35.72	$82.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.53	Professional		$21.31	$21.31	$21.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $46.42 / $433.11	Facility		$23.45	$46.42	$433.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $21.31 / $27.09	Facility		$14.89	$21.31	$27.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.58 / $13,785.00 / $13,785.00	Facility		$20.58	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $22.00 / $22.00	Professional		$17.71	$22.00	$22.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $24.76	Professional		$21.31	$21.31	$24.76