Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $5.17 / $10.94	Facility		$2.54	$5.17	$10.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.56	Professional		$2.54	$2.54	$2.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $529.49 / $1,276.50	Facility		$1.18	$529.49	$1,276.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.13 / $1.47 / $2.54	Facility		$1.13	$1.47	$2.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.54	Professional		$2.54	$2.54	$2.54
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 $0.99 / $2.02 / $2.02	Professional		$0.99	$2.02	$2.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.11	Professional		$2.54	$2.54	$3.11