Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $618.04 / $1,354.74	Facility		$495.55	$618.04	$1,354.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $500.50	Professional		$495.55	$495.55	$500.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $495.55 / $541.91 / $701.29	Facility		$495.55	$541.91	$701.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $495.55	Professional		$495.55	$495.55	$495.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $484.40 / $2,102.37 / $13,785.00	Facility		$484.40	$2,102.37	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.18 / $471.11 / $471.11	Professional		$451.18	$471.11	$471.11
United Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $495.55 / $566.12	Professional		$495.55	$495.55	$566.12