Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,881.00 / $1,881.00 / $1,881.00	Facility		$1,881.00	$1,881.00	$1,881.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.26 / $164.26 / $260.13	Professional		$164.26	$164.26	$260.13
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $822.80 / $822.80 / $822.80	Facility		$822.80	$822.80	$822.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $765.00 / $765.00	Professional		$765.00	$765.00	$765.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $250.00 / $913.00	Facility		$220.00	$250.00	$913.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $250.00 / $285.00	Professional		$168.00	$250.00	$285.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $303.95 / $430.02	Professional		$250.00	$303.95	$430.02
United Facility/Professional Professional Modifier Low / Median / High Price $203.07 / $224.45 / $318.82	Professional		$203.07	$224.45	$318.82