Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.06 / $550.94 / $1,133.95	Facility		$392.06	$550.94	$1,133.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $395.98	Professional		$392.06	$392.06	$395.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.87 / $416.23 / $538.65	Facility		$369.87	$416.23	$538.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $392.06	Professional		$392.06	$392.06	$392.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.89 / $8,702.00 / $13,785.00	Facility		$382.89	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.99 / $390.74 / $403.74	Professional		$385.99	$390.74	$403.74
United Facility/Professional Professional Modifier Low / Median / High Price $392.06 / $392.06 / $452.26	Professional		$392.06	$392.06	$452.26