Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $1,095.39 / $5,653.12	Facility		$31.09	$1,095.39	$5,653.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.40	Professional		$31.09	$31.09	$31.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $489.08 / $489.08 / $489.08	Facility		$489.08	$489.08	$489.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.09 / $48.02 / $82.53	Facility		$31.09	$48.02	$82.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.80 / $137.34 / $13,785.00	Facility		$51.80	$137.34	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $30.24 / $32.64	Professional		$30.24	$30.24	$32.64
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $38.10	Professional		$31.09	$31.09	$38.10