Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $10.23 / $26.92	Facility		$4.68	$10.23	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $11.22	Professional		$7.94	$7.94	$11.22
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $17.78 / $23.99	Facility		$7.76	$17.78	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $11,481.54 / $25,703.96	Facility		$16.60	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $16.22	Professional		$10.47	$10.47	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $13.18 / $13.49	Facility		$10.23	$13.18	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $10.23	Professional		$8.13	$8.13	$10.23