Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $498.14 / $701.90 / $1,363.97	Facility		$498.14	$701.90	$1,363.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $503.12	Professional		$498.14	$498.14	$503.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.42 / $574.78 / $743.83	Facility		$492.42	$574.78	$743.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $498.14	Professional		$498.14	$498.14	$498.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $944.47 / $1,078.73 / $2,250.60	Facility		$944.47	$1,078.73	$2,250.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $497.80 / $497.80 / $509.47	Professional		$497.80	$497.80	$509.47
United Facility/Professional Professional Modifier Low / Median / High Price $498.14 / $498.14 / $581.02	Professional		$498.14	$498.14	$581.02