Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.78 / $13.32 / $29.86	Facility		$9.78	$13.32	$29.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $11.30	Professional		$11.19	$11.19	$11.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14.04 / $155.04 / $373.77	Facility		$14.04	$155.04	$373.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.50 / $11.19	Facility		$5.01	$6.50	$11.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $11.19	Professional		$11.19	$11.19	$11.19
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 $5.83 / $9.80 / $10.53	Professional		$5.83	$9.80	$10.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $13.95	Professional		$11.19	$11.19	$13.95