Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.67 / $169.01 / $1,303.54	Facility		$86.67	$169.01	$1,303.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $115.07 / $246.23	Professional		$86.67	$115.07	$246.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.77 / $195.69 / $322.95	Facility		$193.77	$195.69	$322.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.67 / $468.67 / $468.67	Professional		$468.67	$468.67	$468.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $794.54 / $13,785.00	Facility		$250.00	$794.54	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $250.00 / $250.00	Professional		$212.50	$250.00	$250.00
United Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Facility		$78.93	$78.93	$78.93