Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.08 / $1,698.00 / $4,432.75	Facility		$402.08	$1,698.00	$4,432.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $402.08 / $475.00	Professional		$318.75	$402.08	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.00 / $1,018.95 / $1,290.98	Facility		$493.00	$1,018.95	$1,290.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.84 / $1,761.84 / $1,761.84	Professional		$1,761.84	$1,761.84	$1,761.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.25 / $868.25 / $868.25	Facility		$868.25	$868.25	$868.25