Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,434.47 / $2,797.22 / $4,328.53	Facility		$1,434.47	$2,797.22	$4,328.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.45 / $934.91 / $1,434.47	Professional		$676.45	$934.91	$1,434.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.17 / $2,480.62 / $3,853.61	Facility		$711.17	$2,480.62	$3,853.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.93 / $547.26 / $1,354.64	Professional		$464.93	$547.26	$1,354.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $347.30 / $939.37 / $13,785.00	Facility		$347.30	$939.37	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,464.71 / $1,492.89 / $2,233.19	Professional		$1,464.71	$1,492.89	$2,233.19
United Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93
United Facility/Professional Professional Modifier Low / Median / High Price $489.42 / $698.35 / $1,440.80	Professional		$489.42	$698.35	$1,440.80