Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $25.04 / $123.72	Facility		$5.51	$25.04	$123.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.08	Professional		$1.07	$1.07	$1.08
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $9.77 / $376.00	Facility		$1.28	$9.77	$376.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $2.10 / $2.71	Facility		$1.07	$2.10	$2.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $1.07	Professional		$1.07	$1.07	$1.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $13,785.00 / $13,785.00	Facility		$1.12	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.14 / $1.14 / $1.28	Professional		$1.14	$1.14	$1.28
United Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.07 / $3.90	Professional		$1.07	$1.07	$3.90