Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $46.77	Professional		$33.88	$46.77	$46.77
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $131.83 / $194.98	Facility		$74.13	$131.83	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $125.89 / $151.36	Facility		$69.18	$125.89	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $51.29	Professional		$33.88	$38.90	$51.29