Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $49.70 / $169.90	Facility		$3.82	$49.70	$169.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.04	Professional		$2.02	$2.02	$2.04
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.21 / $941.60 / $4,708.00	Facility		$2.21	$941.60	$4,708.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.45 / $3.17	Facility		$2.02	$2.45	$3.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.94 / $13,785.00 / $13,785.00	Facility		$1.94	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.25 / $2.25 / $2.58	Professional		$2.25	$2.25	$2.58
United Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $4.09 / $4.55	Facility		$3.34	$4.09	$4.55
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.48	Professional		$2.02	$2.02	$2.48