Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $4.01 / $12.24	Facility		$1.38	$4.01	$12.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.39	Professional		$1.38	$1.38	$1.39
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $6.31 / $727.88	Facility		$1.79	$6.31	$727.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.05 / $1.24 / $1.38	Facility		$1.05	$1.24	$1.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $1.38	Professional		$1.38	$1.38	$1.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $13,785.00 / $13,785.00	Facility		$1.57	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.36 / $1.36	Professional		$1.22	$1.36	$1.36
United Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.54 / $1.69	Professional		$1.38	$1.54	$1.69