Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.36 / $4.73 / $31.57	Facility		$1.36	$4.73	$31.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.11	Professional		$1.10	$1.10	$1.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $15.90 / $104.22	Facility		$1.95	$15.90	$104.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $1.10 / $1.40	Facility		$0.84	$1.10	$1.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Professional		$1.10	$1.10	$1.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $13,785.00 / $13,785.00	Facility		$0.84	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.00 / $1.05	Professional		$0.78	$1.00	$1.05
United Facility/Professional Facility Modifier Low / Median / High Price $1.37 / $1.43 / $1.59	Facility		$1.37	$1.43	$1.59
United Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $1.10 / $2.34	Professional		$1.10	$1.10	$2.34