Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $121.91 / $121.91	Facility		$121.91	$121.91	$121.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $31.89 / $31.89	Professional		$31.89	$31.89	$31.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.30 / $86.29 / $170.85	Facility		$72.30	$86.29	$170.85
United Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $41.37 / $50.95	Professional		$33.86	$41.37	$50.95