Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $12.25 / $39.88	Facility		$4.79	$12.25	$39.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.83	Professional		$4.79	$4.79	$4.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $340.02 / $819.72	Facility		$7.25	$340.02	$819.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $8.57 / $39.63	Facility		$4.79	$8.57	$39.63
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 $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 $4.97 / $4.97 / $6.60	Professional		$4.97	$4.97	$6.60
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $5.87	Professional		$4.79	$4.79	$5.87