Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $693.58 / $1,342.85	Facility		$474.84	$693.58	$1,342.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $479.59	Professional		$474.84	$474.84	$479.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $438.51 / $474.84 / $567.48	Facility		$438.51	$474.84	$567.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $474.84 / $474.84	Professional		$474.84	$474.84	$474.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $471.63 / $2,014.51 / $13,785.00	Facility		$471.63	$2,014.51	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.59 / $491.90 / $491.90	Professional		$413.59	$491.90	$491.90
United Facility/Professional Facility Modifier Low / Median / High Price $428.22 / $428.22 / $522.00	Facility		$428.22	$428.22	$522.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.84 / $516.15 / $1,036.23	Professional		$474.84	$516.15	$1,036.23