Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.80 / $773.14 / $1,742.40	Facility		$255.80	$773.14	$1,742.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $293.39 / $415.38	Professional		$82.00	$293.39	$415.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $918.00 / $15,371.40 / $22,011.84	Facility		$918.00	$15,371.40	$22,011.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $147.34 / $147.34	Professional		$147.34	$147.34	$147.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.31 / $516.20 / $1,085.23	Facility		$438.31	$516.20	$1,085.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66,111.10 / $77,777.77 / $77,777.77	Professional		$66,111.10	$77,777.77	$77,777.77
United Facility/Professional Professional Modifier Low / Median / High Price $197.62 / $197.62 / $197.62	Professional		$197.62	$197.62	$197.62