Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $5.21 / $20.81	Facility		$2.29	$5.21	$20.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $1.84	Professional		$1.82	$1.82	$1.84
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $20.83 / $627.73	Facility		$2.00	$20.83	$627.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $3.30 / $4.26	Facility		$1.82	$3.30	$4.26
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 $1.76 / $13,785.00 / $13,785.00	Facility		$1.76	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.85 / $1.85 / $2.67	Professional		$1.85	$1.85	$2.67
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $4.61	Professional		$1.82	$1.82	$4.61