Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $2,452.96 / $5,527.08	Facility		$35.97	$2,452.96	$5,527.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.67	Professional		$29.38	$29.38	$29.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.72 / $61.21 / $113.40	Facility		$48.72	$61.21	$113.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $29.38 / $34.95	Facility		$27.00	$29.38	$34.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $125.15 / $13,785.00	Facility		$50.56	$125.15	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $29.24 / $29.24	Professional		$26.14	$29.24	$29.24
United Facility/Professional Facility Modifier Low / Median / High Price $20.97 / $29.38 / $49.95	Facility		$20.97	$29.38	$49.95
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $31.94 / $36.58	Professional		$29.38	$31.94	$36.58