Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $700.08 / $1,360.44	Facility		$496.74	$700.08	$1,360.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $501.71	Professional		$496.74	$496.74	$501.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $496.74 / $564.03 / $729.93	Facility		$496.74	$564.03	$729.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $496.74	Professional		$496.74	$496.74	$496.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $496.68 / $1,075.94 / $13,785.00	Facility		$496.68	$1,075.94	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.23 / $469.32 / $469.32	Professional		$468.23	$469.32	$469.32
United Facility/Professional Professional Modifier Low / Median / High Price $496.74 / $496.74 / $567.88	Professional		$496.74	$496.74	$567.88