Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,905.46 / $3,235.94	Facility		$1,621.81	$1,905.46	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $1,479.11	Professional		$1,174.90	$1,258.93	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,659.59	Professional		$1,258.93	$1,348.96	$1,659.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $11,481.54 / $26,302.68	Facility		$1,995.26	$11,481.54	$26,302.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,445.44	Professional		$1,258.93	$1,258.93	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,174.90 / $2,630.27	Facility		$512.86	$1,174.90	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,348.96	Professional		$1,230.27	$1,288.25	$1,348.96