Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $7.35 / $19.14	Facility		$2.18	$7.35	$19.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.20	Professional		$2.18	$2.18	$2.20
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $8.58 / $96.84	Facility		$4.93	$8.58	$96.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.88 / $3.73	Facility		$2.06	$2.88	$3.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.18	Professional		$2.18	$2.18	$2.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $8,702.00 / $13,785.00	Facility		$4.63	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.72 / $4.72 / $5.05	Professional		$4.72	$4.72	$5.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $2.67	Professional		$2.18	$2.18	$2.67