Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $4,897.79	Facility		$2,290.87	$2,951.21	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,584.89	Professional		$707.95	$977.24	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,122.02	Professional		$741.31	$891.25	$1,122.02
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 $1,288.25 / $1,513.56 / $1,513.56	Professional		$1,288.25	$1,513.56	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $151.36 / $309.03	Facility		$74.13	$151.36	$309.03