Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $645.65 / $1,318.26	Facility		$257.04	$645.65	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $446.68	Professional		$316.23	$316.23	$446.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,398.83 / $3,090.30	Facility		$758.58	$2,398.83	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,202.26 / $1,862.09	Facility		$707.95	$1,202.26	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,202.26 / $1,445.44	Facility		$676.08	$1,202.26	$1,445.44