Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $9.38 / $76.76	Facility		$2.14	$9.38	$76.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $2.88 / $323.57	Facility		$0.28	$2.88	$323.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.16 / $0.21	Facility		$0.09	$0.16	$0.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $13,785.00 / $13,785.00	Facility		$0.09	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.14	Professional		$0.09	$0.09	$0.14
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.11	Professional		$0.09	$0.09	$0.11