Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $9.55 / $93.33	Facility		$2.45	$9.55	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $5.62 / $17.38	Professional		$1.51	$5.62	$17.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.19 / $0.54 / $2.04	Facility		$0.19	$0.54	$2.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.09 / $0.10 / $0.13	Facility		$0.09	$0.10	$0.13
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 $0.25 / $10,715.19 / $25,118.86	Facility		$0.25	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.10 / $0.10	Professional		$0.09	$0.10	$0.10
United Facility/Professional Facility Modifier Low / Median / High Price $0.18 / $0.26 / $0.26	Facility		$0.18	$0.26	$0.26
United Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.10	Professional		$0.09	$0.09	$0.10