Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $4,897.79	Facility		$2,290.87	$2,754.23	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,511.89	Professional		$1,819.70	$1,819.70	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $2,754.23	Facility		$1,698.24	$2,041.74	$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 $3,090.30 / $10,471.29 / $25,703.96	Facility		$3,090.30	$10,471.29	$25,703.96
Horizon BCBS 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
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,090.30	Facility		$1,621.81	$2,187.76	$3,090.30
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