Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.21 / $259.63 / $10,452.84	Facility		$172.21	$259.63	$10,452.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $173.94	Professional		$172.22	$172.22	$173.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $350.93 / $350.93 / $350.93	Facility		$350.93	$350.93	$350.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.47 / $172.22 / $217.65	Facility		$162.47	$172.22	$217.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.46 / $372.59 / $13,785.00	Facility		$162.46	$372.59	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.54 / $171.94 / $171.94	Professional		$161.54	$171.94	$171.94
United Facility/Professional Facility Modifier Low / Median / High Price $134.81 / $134.81 / $134.81	Facility		$134.81	$134.81	$134.81
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $265.51	Professional		$172.22	$172.22	$265.51