Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $776.25 / $1,412.54	Facility		$660.69	$776.25	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $724.44	Professional		$512.86	$512.86	$724.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $588.84 / $776.25	Facility		$489.78	$588.84	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $10,471.29 / $25,118.86	Facility		$630.96	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $501.19	Professional		$489.78	$489.78	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $512.86 / $812.83	Facility		$416.87	$512.86	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $588.84	Professional		$512.86	$512.86	$588.84