Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.25 / $4,015.68 / $6,250.44	Facility		$222.25	$4,015.68	$6,250.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $222.25 / $222.25	Professional		$222.25	$222.25	$222.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.51 / $340.60 / $399.36	Facility		$289.51	$340.60	$399.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.36 / $399.36 / $399.36	Professional		$399.36	$399.36	$399.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $370.27 / $513.79 / $1,641.00	Facility		$370.27	$513.79	$1,641.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $326.33 / $468.60	Professional		$277.38	$326.33	$468.60
United Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $253.90 / $427.88	Professional		$222.25	$253.90	$427.88