Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $8,128.31	Professional		$3,162.28	$5,370.32	$8,128.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,011.87 / $5,011.87	Facility		$4,466.84	$5,011.87	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,466.84 / $12,022.64	Professional		$4,265.80	$4,466.84	$12,022.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $6,760.83 / $6,760.83	Professional		$467.74	$6,760.83	$6,760.83
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,047.13 / $6,918.31	Facility		$426.58	$1,047.13	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $6,606.93	Professional		$2,818.38	$3,890.45	$6,606.93