Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $173.78 / $457.09	Facility		$63.10	$173.78	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $63.10	Professional		$52.48	$52.48	$63.10
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $331.13	Facility		$257.04	$257.04	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $47.86 / $61.66	Facility		$45.71	$47.86	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $239.88 / $6,309.57	Facility		$100.00	$239.88	$6,309.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $64.57 / $104.71	Facility		$46.77	$64.57	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $58.88	Professional		$52.48	$52.48	$58.88