Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $9,772.37 / $14,125.38	Facility		$4,466.84	$9,772.37	$14,125.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $16,218.10	Facility		$16,218.10	$16,218.10	$16,218.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $19,054.61 / $30,199.52	Facility		$12,022.64	$19,054.61	$30,199.52
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,709.64 / $21,379.62	Facility		$3,890.45	$8,709.64	$21,379.62