Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.20 / $8.40 / $66.45	Facility		$2.20	$8.40	$66.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $1.76	Professional		$1.75	$1.75	$1.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $133.90 / $535.60	Facility		$4.46	$133.90	$535.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.21 / $1.56 / $1.74	Facility		$1.21	$1.56	$1.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
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 $1.69 / $1.70 / $1.80	Professional		$1.69	$1.70	$1.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.75 / $3.13	Professional		$1.75	$1.75	$3.13