Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $1,445.44	Facility		$676.08	$794.33	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $776.25	Professional		$524.81	$524.81	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $645.65 / $831.76	Facility		$524.81	$645.65	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $10,471.29 / $25,118.86	Facility		$524.81	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $1,122.02	Facility		$512.86	$630.96	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $602.56	Professional		$524.81	$524.81	$602.56