Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $91.70 / $272.86	Facility		$4.86	$91.70	$272.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.90	Professional		$4.86	$4.86	$4.90
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.35 / $28.35 / $28.35	Facility		$28.35	$28.35	$28.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.82 / $5.82 / $7.54	Facility		$4.82	$5.82	$7.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86
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 $4.98 / $5.15 / $5.15	Professional		$4.98	$5.15	$5.15
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $12.99	Professional		$4.86	$4.86	$12.99