Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $414.39 / $913.38 / $4,545.00	Facility		$414.39	$913.38	$4,545.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $402.08 / $475.00	Professional		$318.75	$402.08	$475.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,060.86 / $2,383.05 / $6,053.81	Facility		$1,060.86	$2,383.05	$6,053.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.00 / $1,018.95 / $1,290.98	Facility		$493.00	$1,018.95	$1,290.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,940.81 / $1,940.81 / $1,940.81	Professional		$1,940.81	$1,940.81	$1,940.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.82 / $868.25 / $1,882.81	Facility		$723.82	$868.25	$1,882.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.18 / $375.50 / $375.50	Professional		$319.18	$375.50	$375.50