Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,541.00 / $3,541.00 / $3,541.00	Facility		$3,541.00	$3,541.00	$3,541.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.29 / $196.29 / $310.93	Professional		$196.29	$196.29	$310.93
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,448.85 / $2,448.85 / $2,448.85	Facility		$2,448.85	$2,448.85	$2,448.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $1,193.00 / $1,205.00	Facility		$400.00	$1,193.00	$1,205.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $385.77 / $500.00	Professional		$315.00	$385.77	$500.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $315.04 / $1,572.92 / $2,015.14	Professional		$315.04	$1,572.92	$2,015.14
United Facility/Professional Professional Modifier Low / Median / High Price $376.92 / $426.45 / $696.00	Professional		$376.92	$426.45	$696.00