Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.36 / $341.02 / $1,698.17	Facility		$73.36	$341.02	$1,698.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $22.42 / $27.42	Professional		$14.69	$22.42	$27.42
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $151.65 / $325.26 / $2,961.33	Facility		$151.65	$325.26	$2,961.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.20 / $39.42	Professional		$16.98	$20.20	$39.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.88 / $142.28 / $170.40	Facility		$141.88	$142.28	$170.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $27.26 / $37.65	Professional		$12.51	$27.26	$37.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.57 / $173.03 / $329.98	Facility		$156.57	$173.03	$329.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $14.82 / $37.61	Professional		$11.31	$14.82	$37.61
United Facility/Professional Facility Modifier Low / Median / High Price $137.29 / $248.24 / $299.33	Facility		$137.29	$248.24	$299.33
United Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $21.85 / $34.01	Professional		$11.90	$21.85	$34.01