Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $794.33 / $1,445.44	Facility		$676.08	$794.33	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $537.03 / $776.25	Professional		$524.81	$537.03	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $616.60 / $794.33	Facility		$524.81	$616.60	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $10,471.29 / $25,118.86	Facility		$912.01	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $537.03 / $537.03	Professional		$524.81	$537.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $2,398.83	Facility		$467.74	$707.95	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $602.56	Professional		$524.81	$524.81	$602.56