Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.34 / $211.34 / $211.34	Facility		$211.34	$211.34	$211.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.34 / $211.34 / $211.34	Professional		$211.34	$211.34	$211.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $242.56 / $242.56 / $242.56	Professional		$242.56	$242.56	$242.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.51 / $221.96 / $232.20	Facility		$171.51	$221.96	$232.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.20 / $232.20 / $232.20	Professional		$232.20	$232.20	$232.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.94 / $223.77 / $223.77	Professional		$193.94	$223.77	$223.77
United Facility/Professional Professional Modifier Low / Median / High Price $207.32 / $218.72 / $248.63	Professional		$207.32	$218.72	$248.63