Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $745.30 / $1,448.31	Facility		$636.59	$745.30	$1,448.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $642.96	Professional		$636.59	$636.59	$642.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $821.10 / $821.10 / $821.10	Professional		$821.10	$821.10	$821.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $913.46 / $1,079.02	Facility		$636.59	$913.46	$1,079.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $636.59	Professional		$636.59	$636.59	$636.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.56 / $2,700.73 / $13,785.00	Facility		$1,060.56	$2,700.73	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $528.58 / $528.58 / $714.37	Professional		$528.58	$528.58	$714.37
United Facility/Professional Facility Modifier Low / Median / High Price $790.58 / $790.58 / $790.58	Facility		$790.58	$790.58	$790.58
United Facility/Professional Professional Modifier Low / Median / High Price $636.59 / $636.59 / $780.11	Professional		$636.59	$636.59	$780.11