Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.81 / $4.50 / $15.40	Facility		$1.81	$4.50	$15.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.83	Professional		$1.81	$1.81	$1.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.08 / $115.40 / $577.00	Facility		$2.08	$115.40	$577.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $2.04 / $2.65	Facility		$1.80	$2.04	$2.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $1.81	Professional		$1.81	$1.81	$1.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $13,785.00 / $13,785.00	Facility		$1.82	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.10 / $2.10	Professional		$1.95	$2.10	$2.10
United Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $1.81 / $2.22	Professional		$1.81	$1.81	$2.22