Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.69 / $169.96 / $296.37	Facility		$22.69	$169.96	$296.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.96 / $169.96 / $169.96	Professional		$169.96	$169.96	$169.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $195.10 / $195.10	Professional		$195.10	$195.10	$195.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.07 / $186.76 / $190.32	Facility		$147.07	$186.76	$190.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.16 / $186.76 / $186.76	Professional		$87.16	$186.76	$186.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $189.95 / $13,785.00 / $13,785.00	Facility		$189.95	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.22 / $179.96 / $179.96	Professional		$160.22	$179.96	$179.96
United Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $183.43 / $204.34	Professional		$166.75	$183.43	$204.34