Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $5.01 / $22.39	Facility		$2.34	$5.01	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.75	Professional		$1.00	$1.00	$2.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $11.48 / $20.89	Facility		$6.61	$11.48	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.14 / $2.75	Facility		$1.82	$2.14	$2.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.82	Professional		$1.82	$1.82	$1.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $10,715.19 / $25,118.86	Facility		$5.37	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.86	Professional		$1.82	$1.82	$1.86
United Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $5.01 / $5.13	Facility		$3.47	$5.01	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $2.04	Professional		$1.82	$1.82	$2.04