Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $178.33 / $1,514.77	Facility		$13.13	$178.33	$1,514.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.05	Professional		$3.02	$3.02	$3.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $151.61 / $764.06 / $1,473.60	Facility		$151.61	$764.06	$1,473.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $71.59 / $92.65	Facility		$3.02	$71.59	$92.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $13,785.00 / $13,785.00	Facility		$19.85	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $14.82	Professional		$3.00	$3.00	$14.82
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.70	Professional		$3.02	$3.02	$3.70