Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,817.28 / $5,319.72 / $10,337.60	Facility		$3,817.28	$5,319.72	$10,337.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,855.45	Professional		$3,817.28	$3,817.28	$3,855.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,092.44 / $3,638.17 / $4,001.99	Facility		$3,092.44	$3,638.17	$4,001.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $3,817.28 / $3,817.28	Professional		$3,817.28	$3,817.28	$3,817.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,359.59 / $8,702.00 / $16,194.81	Facility		$6,359.59	$8,702.00	$16,194.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,376.33 / $3,772.85 / $3,772.85	Professional		$3,376.33	$3,772.85	$3,772.85
United Facility/Professional Professional Modifier Low / Median / High Price $3,817.28 / $4,027.23 / $4,460.43	Professional		$3,817.28	$4,027.23	$4,460.43