Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.53 / $1,529.55 / $3,034.24	Facility		$1,243.53	$1,529.55	$3,034.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.46 / $1,214.28 / $1,243.54	Professional		$1,009.46	$1,214.28	$1,243.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,132.51 / $1,243.54 / $1,465.61	Facility		$1,132.51	$1,243.54	$1,465.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,243.54 / $1,243.54 / $1,243.54	Professional		$1,243.54	$1,243.54	$1,243.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,178.92 / $8,702.00 / $13,785.00	Facility		$1,178.92	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.42 / $1,223.34 / $1,223.34	Professional		$1,121.42	$1,223.34	$1,223.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.04 / $1,122.04 / $1,122.04	Facility		$1,122.04	$1,122.04	$1,122.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,219.16 / $1,219.16 / $1,464.16	Professional		$1,219.16	$1,219.16	$1,464.16