Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,007.42 / $1,420.46 / $2,458.10	Facility		$1,007.42	$1,420.46	$2,458.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.79 / $983.72 / $1,007.42	Professional		$817.79	$983.72	$1,007.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $889.89 / $1,046.93 / $1,151.61	Facility		$889.89	$1,046.93	$1,151.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,046.93	Professional		$1,046.93	$1,046.93	$1,046.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.42 / $1,007.42 / $1,007.42	Professional		$1,007.42	$1,007.42	$1,007.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,250.39	Professional		$1,185.20	$1,185.20	$1,250.39