Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.96 / $851.32 / $1,620.33	Facility		$572.96	$851.32	$1,620.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $578.69	Professional		$572.96	$572.96	$578.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.06 / $572.96 / $668.21	Facility		$471.06	$572.96	$668.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $572.96	Professional		$572.96	$572.96	$572.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.94 / $2,564.96 / $13,785.00	Facility		$526.94	$2,564.96	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.52 / $542.52 / $1,274.76	Professional		$542.52	$542.52	$1,274.76
United Facility/Professional Facility Modifier Low / Median / High Price $351.40 / $351.40 / $351.40	Facility		$351.40	$351.40	$351.40
United Facility/Professional Professional Modifier Low / Median / High Price $572.96 / $572.96 / $1,129.79	Professional		$572.96	$572.96	$1,129.79