Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $60.03 / $251.55	Facility		$9.13	$60.03	$251.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.11	Professional		$5.05	$5.05	$5.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5.91 / $156.50 / $2,138.00	Facility		$5.91	$156.50	$2,138.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $15.34 / $18.50	Facility		$5.05	$15.34	$18.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $8,702.00 / $13,785.00	Facility		$42.84	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.40 / $5.40 / $7.21	Professional		$5.40	$5.40	$7.21
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $54.41 / $57.79	Professional		$5.05	$54.41	$57.79