Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $873.37 / $2,298.71 / $2,454.51	Facility		$873.37	$2,298.71	$2,454.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $1,145.06 / $2,483.02	Professional		$81.39	$1,145.06	$2,483.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $576.48 / $1,234.59 / $11,303.64	Facility		$576.48	$1,234.59	$11,303.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.73 / $2,736.98 / $3,087.43	Facility		$253.73	$2,736.98	$3,087.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.86 / $520.86 / $520.86	Professional		$520.86	$520.86	$520.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $265.23 / $1,738.10 / $2,183.88	Facility		$265.23	$1,738.10	$2,183.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $311.52 / $311.52 / $366.50	Professional		$311.52	$311.52	$366.50