Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.63 / $338.49 / $930.90	Facility		$287.63	$338.49	$930.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.68 / $313.68 / $313.68	Professional		$313.68	$313.68	$313.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $521.53 / $1,659.51 / $2,607.65	Facility		$521.53	$1,659.51	$2,607.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.92 / $486.76 / $538.19	Facility		$295.92	$486.76	$538.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.50 / $486.76 / $486.76	Professional		$137.50	$486.76	$486.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.59 / $1,165.00 / $13,785.00	Facility		$522.59	$1,165.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.02 / $312.02 / $432.11	Professional		$312.02	$312.02	$432.11
United Facility/Professional Facility Modifier Low / Median / High Price $326.61 / $326.61 / $326.61	Facility		$326.61	$326.61	$326.61
United Facility/Professional Professional Modifier Low / Median / High Price $340.89 / $359.64 / $529.09	Professional		$340.89	$359.64	$529.09