Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.14 / $261.14 / $352.35	Facility		$261.14	$261.14	$352.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.14 / $261.14 / $261.14	Professional		$261.14	$261.14	$261.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $281.52 / $281.52 / $281.52	Professional		$281.52	$281.52	$281.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.41 / $259.31 / $285.24	Facility		$220.41	$259.31	$285.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $269.49 / $272.37	Professional		$191.54	$269.49	$272.37
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 $247.40 / $247.40 / $247.40	Professional		$247.40	$247.40	$247.40
United Facility/Professional Professional Modifier Low / Median / High Price $240.62 / $253.85 / $288.60	Professional		$240.62	$253.85	$288.60