Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.15 / $10.93 / $30.22	Facility		$3.15	$10.93	$30.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $15.85	Professional		$15.69	$15.69	$15.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $21.61 / $363.02	Facility		$9.46	$21.61	$363.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $13.21 / $15.69	Facility		$7.87	$13.21	$15.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $15.69	Professional		$15.69	$15.69	$15.69
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 $7.62 / $16.29 / $16.29	Professional		$7.62	$16.29	$16.29
United Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $17.92	Professional		$15.69	$15.69	$17.92