Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,284.29 / $2,547.69	Facility		$1,045.15	$1,284.29	$2,547.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,055.59	Professional		$1,045.15	$1,045.15	$1,055.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,045.15 / $1,155.53 / $1,495.40	Facility		$1,045.15	$1,155.53	$1,495.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,045.15	Professional		$1,045.15	$1,045.15	$1,045.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,741.22 / $4,434.05 / $13,785.00	Facility		$1,741.22	$4,434.05	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $989.52 / $1,044.14 / $1,044.14	Professional		$989.52	$1,044.14	$1,044.14
United Facility/Professional Facility Modifier Low / Median / High Price $932.09 / $1,106.16 / $2,765.41	Facility		$932.09	$1,106.16	$2,765.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,045.15 / $1,045.15 / $1,280.78	Professional		$1,045.15	$1,045.15	$1,280.78