Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.22 / $4,791.00 / $9,784.00	Facility		$203.22	$4,791.00	$9,784.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,611.96 / $4,611.96 / $9,366.62	Facility		$4,611.96	$4,611.96	$9,366.62
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00