Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $73.79 / $135.00	Facility		$14.18	$73.79	$135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $73.79 / $73.79	Professional		$73.79	$73.79	$73.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $95.14 / $95.14	Professional		$95.14	$95.14	$95.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $93.78 / $106.32	Facility		$69.62	$93.78	$106.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $93.78 / $93.78	Professional		$60.22	$93.78	$93.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.16 / $8,702.00 / $13,785.00	Facility		$72.16	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $72.68 / $85.15	Professional		$72.68	$72.68	$85.15
United Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $95.98 / $101.31	Professional		$84.94	$95.98	$101.31