Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Facility		$125.50	$125.50	$125.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Professional		$125.50	$125.50	$125.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $125.25 / $125.25	Facility		$125.25	$125.25	$125.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.26 / $137.94 / $151.75	Facility		$117.26	$137.94	$151.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $137.94 / $137.94	Professional		$87.16	$137.94	$137.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $132.88 / $132.88	Professional		$132.88	$132.88	$132.88
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $174.23	Professional		$147.65	$147.65	$174.23