Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.57 / $116.21 / $260.45	Facility		$82.57	$116.21	$260.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $83.40	Professional		$82.58	$82.58	$83.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $967.10 / $4,835.50	Facility		$87.90	$967.10	$4,835.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Professional		$83.71	$83.71	$83.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.99 / $95.73 / $123.88	Facility		$81.99	$95.73	$123.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $82.57 / $82.57	Professional		$82.57	$82.57	$82.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.16 / $13,785.00 / $13,785.00	Facility		$77.16	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.16 / $85.53 / $88.05	Professional		$85.16	$85.53	$88.05
United Facility/Professional Professional Modifier Low / Median / High Price $82.58 / $82.58 / $130.53	Professional		$82.58	$82.58	$130.53