Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.21 / $98.16 / $144.34	Facility		$57.21	$98.16	$144.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.16 / $98.16	Professional		$98.15	$98.16	$98.16
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $100.89 / $100.89 / $100.89	Professional		$100.89	$100.89	$100.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.71 / $73.78 / $96.58	Facility		$62.71	$73.78	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $13,785.00 / $13,785.00	Facility		$83.49	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.41 / $79.09 / $79.09	Professional		$73.41	$79.09	$79.09
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $97.44 / $103.33	Professional		$86.23	$97.44	$103.33