Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.47 / $50.92 / $113.44	Facility		$42.47	$50.92	$113.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.90	Professional		$42.48	$42.48	$42.90
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $0.27 / $0.27 / $0.27	Facility		$0.27	$0.27	$0.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.48 / $48.48 / $62.74	Facility		$42.48	$48.48	$62.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $42.48	Professional		$42.48	$42.48	$42.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.77 / $180.22 / $13,785.00	Facility		$70.77	$180.22	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $41.40 / $41.40	Professional		$40.92	$41.40	$41.40
United Facility/Professional Professional Modifier Low / Median / High Price $42.48 / $42.48 / $53.16	Professional		$42.48	$42.48	$53.16