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 $318.75 / $425.00 / $475.00	Professional		$318.75	$425.00	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.37 / $1,015.71 / $1,290.98	Facility		$611.37	$1,015.71	$1,290.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $630.00 / $630.00	Professional		$475.00	$630.00	$630.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.25 / $868.25 / $1,655.85	Facility		$868.25	$868.25	$1,655.85
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.50 / $229.50 / $270.00	Professional		$229.50	$229.50	$270.00