Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,786.94 / $5,415.75	Facility		$2,016.42	$2,786.94	$5,415.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,036.59	Professional		$2,016.42	$2,016.42	$2,036.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,016.42 / $2,137.60 / $2,766.30	Facility		$2,016.42	$2,137.60	$2,766.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $8,554.66 / $13,785.00	Facility		$1,165.00	$8,554.66	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,925.23 / $1,925.23 / $2,047.34	Professional		$1,925.23	$1,925.23	$2,047.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,816.65 / $1,816.65 / $1,816.65	Facility		$1,816.65	$1,816.65	$1,816.65
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,540.81	Professional		$2,016.42	$2,016.42	$2,540.81