Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,232.16 / $4,602.31	Facility		$816.00	$1,232.16	$4,602.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $662.40 / $796.80 / $816.00	Professional		$662.40	$796.80	$816.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $2,669.17 / $2,936.09	Facility		$816.00	$2,669.17	$2,936.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $919.50 / $3,243.00 / $13,785.00	Facility		$919.50	$3,243.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $1,530.00	Professional		$816.00	$816.00	$1,530.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,933.30 / $1,933.30 / $1,933.30	Facility		$1,933.30	$1,933.30	$1,933.30
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,433.20	Professional		$800.00	$800.00	$1,433.20