Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.07 / $104.90 / $381.52	Facility		$53.07	$104.90	$381.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $53.61	Professional		$53.08	$53.08	$53.61
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $421.77 / $1,111.58 / $3,408.63	Facility		$421.77	$1,111.58	$3,408.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $55.87 / $61.46	Facility		$45.90	$55.87	$61.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.60 / $103.45 / $223.51	Facility		$89.60	$103.45	$223.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $84.19 / $84.19	Professional		$84.19	$84.19	$84.19
United Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $52.45 / $52.45	Facility		$52.45	$52.45	$52.45
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $56.00	Professional		$53.08	$53.08	$56.00