Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.20 / $1,712.63 / $3,838.23	Facility		$1,166.20	$1,712.63	$3,838.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,214.63	Professional		$1,214.63	$1,214.63	$1,214.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,311.80 / $1,311.80 / $1,311.80	Professional		$1,311.80	$1,311.80	$1,311.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,070.23 / $1,238.93 / $1,385.00	Facility		$1,070.23	$1,238.93	$1,385.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,209.77 / $13,785.00 / $13,785.00	Facility		$1,209.77	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.73 / $1,238.93 / $1,238.93	Professional		$1,123.73	$1,238.93	$1,238.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,214.63 / $1,457.56	Professional		$1,214.63	$1,214.63	$1,457.56