Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.14 / $241.74 / $297.33	Facility		$81.14	$241.74	$297.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.74 / $241.74 / $241.74	Professional		$241.74	$241.74	$241.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $277.44 / $277.44 / $277.44	Professional		$277.44	$277.44	$277.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.33 / $265.58 / $265.72	Facility		$205.33	$265.58	$265.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.58 / $265.58 / $265.58	Professional		$265.58	$265.58	$265.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $270.18 / $13,785.00 / $13,785.00	Facility		$270.18	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.42 / $255.96 / $255.96	Professional		$215.42	$255.96	$255.96
United Facility/Professional Professional Modifier Low / Median / High Price $237.13 / $267.95 / $290.58	Professional		$237.13	$267.95	$290.58