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 / $4,074.00	Facility		$402.08	$1,698.00	$4,074.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.10 / $402.08 / $475.00	Professional		$266.10	$402.08	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.00 / $634.66 / $841.08	Facility		$493.00	$634.66	$841.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.90 / $587.66 / $880.22	Facility		$489.90	$587.66	$880.22
United Facility/Professional Facility Modifier Low / Median / High Price $349.56 / $349.56 / $349.56	Facility		$349.56	$349.56	$349.56