Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,605.86 / $6,396.00 / $11,298.00	Facility		$1,605.86	$6,396.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.86 / $1,605.86 / $1,811.41	Professional		$1,605.86	$1,605.86	$1,811.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.30 / $2,116.30 / $2,116.30	Professional		$2,116.30	$2,116.30	$2,116.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,903.44 / $12,359.29 / $21,935.56	Facility		$11,903.44	$12,359.29	$21,935.56
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00