Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $546.28 / $746.43 / $1,291.69	Facility		$546.28	$746.43	$1,291.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $551.76	Professional		$546.29	$546.29	$551.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.29 / $737.32 / $954.17	Facility		$546.29	$737.32	$954.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $546.29	Professional		$546.29	$546.29	$546.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.83 / $2,001.61 / $13,785.00	Facility		$521.83	$2,001.61	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.37 / $529.37 / $630.39	Professional		$529.37	$529.37	$630.39
United Facility/Professional Facility Modifier Low / Median / High Price $589.78 / $589.78 / $720.00	Facility		$589.78	$589.78	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $546.29 / $546.29 / $669.45	Professional		$546.29	$546.29	$669.45