Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.41 / $191.20 / $660.19	Facility		$57.41	$191.20	$660.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $17.12 / $24.99	Professional		$11.74	$17.12	$24.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $400.35 / $4,418.77	Facility		$38.61	$400.35	$4,418.77
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $31.50 / $31.50 / $31.50	Professional		$31.50	$31.50	$31.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $58.46 / $100.53	Facility		$19.04	$58.46	$100.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $12.30 / $27.87	Professional		$9.61	$12.30	$27.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $416.61 / $13,785.00	Facility		$21.76	$416.61	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $35.40 / $49.93	Professional		$8.76	$35.40	$49.93
United Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $12.82 / $24.35	Professional		$8.08	$12.82	$24.35