Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $89.13 / $169.82	Facility		$6.31	$89.13	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.13 / $181.97	Professional		$3.98	$5.13	$181.97
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.62 / $7.41	Facility		$4.79	$5.62	$7.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $11,481.54 / $25,703.96	Facility		$13.18	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $9.33 / $9.55	Facility		$6.76	$9.33	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.50	Professional		$4.79	$4.79	$5.50