Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $758.58 / $1,348.96	Facility		$630.96	$758.58	$1,348.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $691.83	Professional		$501.19	$501.19	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $741.31	Facility		$467.74	$562.34	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $10,232.93 / $25,118.86	Facility		$616.60	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $478.63	Professional		$467.74	$467.74	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $575.44 / $776.25	Facility		$398.11	$575.44	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $575.44	Professional		$501.19	$501.19	$575.44