Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $4.62 / $228.31	Facility		$3.11	$4.62	$228.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.14	Professional		$3.11	$3.11	$3.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.93 / $1,474.39	Facility		$4.13	$4.93	$1,474.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.11 / $4.09 / $5.30	Facility		$3.11	$4.09	$5.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.11	Professional		$3.11	$3.11	$3.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $13,785.00 / $13,785.00	Facility		$3.64	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $4.19	Professional		$3.16	$3.16	$4.19
United Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $3.81	Professional		$3.11	$3.11	$3.81