Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $602.56 / $812.83	Facility		$457.09	$602.56	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $501.19 / $602.56	Facility		$457.09	$501.19	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $501.19 / $501.19	Professional		$169.82	$501.19	$501.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $10,000.00 / $25,118.86	Facility		$602.56	$10,000.00	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $426.58 / $707.95	Facility		$354.81	$426.58	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $501.19 / $537.03	Professional		$457.09	$501.19	$537.03