Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,994.00 / $6,656.00 / $11,298.00	Facility		$1,994.00	$6,656.00	$11,298.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,644.00 / $8,289.01 / $12,042.00	Facility	50	$5,644.00	$8,289.01	$12,042.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,844.64 / $11,733.00 / $19,686.36	Facility		$4,844.64	$11,733.00	$19,686.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,700.16 / $19,158.88 / $21,611.98	Facility		$16,700.16	$19,158.88	$21,611.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,367.83 / $30,824.83 / $33,122.22	Facility		$17,367.83	$30,824.83	$33,122.22
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00