Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.57 / $3.35 / $8.94	Facility		$1.57	$3.35	$8.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.27	Professional		$1.26	$1.26	$1.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $28.00 / $260.70	Facility		$1.58	$28.00	$260.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Professional		$1.35	$1.35	$1.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.19 / $1.56 / $2.00	Facility		$1.19	$1.56	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $13,785.00 / $13,785.00	Facility		$1.24	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.40 / $1.43 / $1.46	Professional		$1.40	$1.43	$1.46
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.54	Professional		$1.26	$1.26	$1.54