Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,659.59 / $1,659.59	Facility		$794.33	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,398.83 / $3,090.30	Facility		$758.58	$2,398.83	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $3,715.35	Facility		$1,548.82	$2,398.83	$3,715.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $229.09	Professional		$194.98	$229.09	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $3,311.31	Facility		$1,513.56	$2,754.23	$3,311.31