Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,019.95 / $9,772.37	Facility		$1,778.28	$3,019.95	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $10,471.29	Professional		$1,778.28	$1,949.84	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,630.27	Facility		$1,659.59	$2,041.74	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $10,471.29 / $25,703.96	Facility		$3,019.95	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,737.80	Professional		$1,659.59	$1,659.59	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,754.23	Facility		$1,412.54	$2,041.74	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,949.84 / $1,995.26	Professional		$1,778.28	$1,949.84	$1,995.26