Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.15 / $1,938.96 / $3,355.37	Facility		$1,375.15	$1,938.96	$3,355.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,116.30 / $1,342.79 / $1,375.15	Professional		$1,116.30	$1,342.79	$1,375.15
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2.43 / $2.43 / $2.43	Facility		$2.43	$2.43	$2.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,214.71 / $1,429.07 / $1,571.98	Facility		$1,214.71	$1,429.07	$1,571.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,429.07 / $1,429.07 / $1,429.07	Professional		$1,429.07	$1,429.07	$1,429.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,375.15 / $1,375.15 / $1,375.15	Professional		$1,375.15	$1,375.15	$1,375.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,388.63 / $1,388.63 / $1,617.82	Professional		$1,388.63	$1,388.63	$1,617.82