Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.46 / $14.46 / $55.31	Professional		$14.46	$14.46	$55.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $191.25 / $191.25 / $191.25	Professional		$191.25	$191.25	$191.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $54.84 / $54.84	Facility		$54.84	$54.84	$54.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $139.40 / $164.00	Professional		$16.63	$139.40	$164.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $28.66 / $59.00	Professional		$19.14	$28.66	$59.00