Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.48 / $84.49 / $140.07	Facility		$84.48	$84.49	$140.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $84.49 / $84.49	Professional		$84.49	$84.49	$84.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $96.91 / $96.91 / $96.91	Professional		$96.91	$96.91	$96.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $92.77 / $101.07	Facility		$78.09	$92.77	$101.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $93.50	Professional		$92.77	$92.77	$93.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.50 / $13,785.00 / $13,785.00	Facility		$82.50	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $84.49 / $113.53	Professional		$84.49	$84.49	$113.53
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $91.11 / $130.53	Professional		$82.83	$91.11	$130.53