Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.07 / $1,698.00 / $3,727.00	Facility		$402.07	$1,698.00	$3,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $402.08 / $475.00	Professional		$250.00	$402.08	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.00 / $634.66 / $838.29	Facility		$493.00	$634.66	$838.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $259.56 / $259.56 / $259.56	Professional		$259.56	$259.56	$259.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.66 / $587.66 / $1,042.99	Facility		$587.66	$587.66	$1,042.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.80 / $210.80 / $248.00	Professional		$210.80	$210.80	$248.00
United Facility/Professional Facility Modifier Low / Median / High Price $349.56 / $349.56 / $349.56	Facility		$349.56	$349.56	$349.56