Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,698.24 / $4,466.84	Facility		$104.71	$1,698.24	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $323.59 / $630.96	Professional		$87.10	$323.59	$630.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $177.83 / $501.19	Facility		$138.04	$177.83	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $141.25 / $398.11	Professional		$66.07	$141.25	$398.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $295.12 / $9,772.37	Facility		$177.83	$295.12	$9,772.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $691.83 / $831.76	Professional		$85.11	$691.83	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $263.03	Facility		$117.49	$138.04	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33