Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $5,011.87	Facility		$2,344.23	$2,754.23	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,691.53	Professional		$1,819.70	$1,819.70	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,754.23	Facility		$1,819.70	$2,137.96	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $10,471.29 / $25,703.96	Facility		$3,019.95	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,862.09	Professional		$1,737.80	$1,737.80	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $5,248.07	Facility		$1,778.28	$2,754.23	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,089.30	Professional		$1,819.70	$1,819.70	$2,089.30