Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.60 / $7.13 / $26.46	Facility		$1.60	$7.13	$26.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.20 / $1.54 / $171.20	Facility		$0.20	$1.54	$171.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.16 / $0.21	Facility		$0.11	$0.16	$0.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Professional		$0.11	$0.11	$0.11
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 $0.13 / $0.18 / $0.18	Professional		$0.13	$0.18	$0.18
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $1.33	Professional		$0.11	$0.11	$1.33