Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.08 / $267.86 / $545.51	Facility		$89.08	$267.86	$545.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $124.60	Professional		$123.36	$123.36	$124.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $1,184.20 / $2,854.88	Facility		$163.19	$1,184.20	$2,854.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $144.11 / $186.49	Facility		$116.38	$144.11	$186.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $13,785.00 / $13,785.00	Facility		$143.26	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $141.10 / $141.10	Professional		$129.19	$141.10	$141.10
United Facility/Professional Facility Modifier Low / Median / High Price $187.67 / $236.16 / $263.76	Facility		$187.67	$236.16	$263.76
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $140.93	Professional		$123.36	$123.36	$140.93