Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $5.09 / $121.12	Facility		$1.42	$5.09	$121.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.43	Professional		$1.41	$1.41	$1.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1.43 / $5.31 / $557.50	Facility		$1.43	$5.31	$557.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.24 / $1.41 / $1.61	Facility		$1.24	$1.41	$1.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Professional		$1.41	$1.41	$1.41
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 $1.30 / $1.41 / $1.72	Professional		$1.30	$1.41	$1.72
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.73	Professional		$1.41	$1.41	$1.73