Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,230.27 / $2,754.23	Facility		$549.54	$1,230.27	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $1,513.56	Professional		$416.87	$524.81	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $6,309.57 / $23,988.33	Facility		$138.04	$6,309.57	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,071.52	Professional		$912.01	$1,071.52	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $676.08 / $1,348.96	Facility		$346.74	$676.08	$1,348.96