Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $5.97 / $98.22	Facility		$2.23	$5.97	$98.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.97	Professional		$1.95	$1.95	$1.97
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.62 / $24.00 / $580.98	Facility		$2.62	$24.00	$580.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $3.09 / $4.00	Facility		$1.95	$3.09	$4.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Professional		$1.95	$1.95	$1.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.47 / $13,785.00 / $13,785.00	Facility		$2.47	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.92	Professional		$2.37	$2.37	$2.92
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.39	Professional		$1.95	$1.95	$2.39