Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.02 / $224.99 / $951.64	Facility		$65.02	$224.99	$951.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $121.70 / $141.55	Professional		$95.02	$121.70	$141.55
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $5,342.76 / $9,275.62	Facility		$317.70	$5,342.76	$9,275.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $119.90 / $119.90	Professional		$119.90	$119.90	$119.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.50 / $297.50 / $350.00	Professional		$297.50	$297.50	$350.00