Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $137.76 / $308.73	Facility		$114.54	$137.76	$308.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $115.68	Professional		$114.54	$114.54	$115.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $159.38 / $159.38	Professional		$159.38	$159.38	$159.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $160.26 / $187.32	Facility		$114.54	$160.26	$187.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.30 / $419.67 / $13,785.00	Facility		$125.30	$419.67	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $131.56	Professional		$97.70	$97.70	$131.56
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $140.36	Professional		$114.54	$114.54	$140.36