Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.73 / $2,791.10 / $6,248.23	Facility		$319.73	$2,791.10	$6,248.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $279.85 / $279.85	Professional		$279.85	$279.85	$279.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $299.64 / $33,685.46 / $64,967.14	Facility		$299.64	$33,685.46	$64,967.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.75 / $375.45 / $421.56	Facility		$325.75	$375.45	$421.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.45 / $375.45 / $375.45	Professional		$375.45	$375.45	$375.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.91 / $656.86 / $13,785.00	Facility		$289.91	$656.86	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.44 / $266.44 / $367.47	Professional		$266.44	$266.44	$367.47
United Facility/Professional Facility Modifier Low / Median / High Price $297.80 / $297.80 / $363.00	Facility		$297.80	$297.80	$363.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.85 / $316.23 / $816.60	Professional		$279.85	$316.23	$816.60