Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $141.25 / $204.17	Facility		$26.92	$141.25	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $54.95 / $100.00	Professional		$27.54	$54.95	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $239.88	Facility		$107.15	$107.15	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $85.11 / $177.83	Professional		$43.65	$85.11	$177.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $295.12 / $9,772.37	Facility		$177.83	$295.12	$9,772.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $281.84 / $501.19	Professional		$81.28	$281.84	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $131.83 / $234.42	Facility		$117.49	$131.83	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44