Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $45.89 / $164.05	Facility		$26.55	$45.89	$164.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $45.78	Professional		$39.81	$39.81	$45.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $58.54 / $146.99 / $307.81	Facility		$58.54	$146.99	$307.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Professional		$57.04	$57.04	$57.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.37 / $51.65 / $56.82	Facility		$43.37	$51.65	$56.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $54.60 / $54.60	Professional		$54.60	$54.60	$54.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.07 / $13,785.00 / $13,785.00	Facility		$39.07	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.71 / $39.71 / $49.36	Professional		$39.71	$39.71	$49.36
United Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $51.75 / $57.88	Professional		$49.05	$51.75	$57.88