Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $831.76 / $2,041.74	Facility		$257.04	$831.76	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $371.54	Professional		$263.03	$295.12	$371.54
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,000.00	Facility		$912.01	$912.01	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $724.44 / $1,148.15	Facility		$457.09	$724.44	$1,148.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66,069.34 / $66,069.34 / $77,624.71	Professional		$66,069.34	$66,069.34	$77,624.71
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $912.01 / $1,096.48	Facility		$501.19	$912.01	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53