Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,348.96	Facility		$1,202.26	$1,202.26	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $3,467.37	Professional		$1,288.25	$2,137.96	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $588.84 / $3,715.35	Facility		$295.12	$588.84	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $4,897.79	Professional		$1,819.70	$2,344.23	$4,897.79