Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.18 / $365.07 / $685.40	Facility		$181.18	$365.07	$685.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $184.27	Professional		$182.45	$182.45	$184.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $174.01 / $353.70 / $602.19	Facility		$174.01	$353.70	$602.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $203.45 / $263.29	Facility		$182.45	$203.45	$263.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $182.45	Professional		$182.45	$182.45	$182.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.35 / $858.42 / $13,785.00	Facility		$362.35	$858.42	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.18 / $203.18 / $204.36	Professional		$203.18	$203.18	$204.36
United Facility/Professional Facility Modifier Low / Median / High Price $177.45 / $177.45 / $177.45	Facility		$177.45	$177.45	$177.45
United Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $182.45 / $223.58	Professional		$182.45	$182.45	$223.58