Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $741.31 / $1,621.81	Facility		$245.47	$741.31	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $229.09 / $371.54	Professional		$131.83	$229.09	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $4,570.88 / $23,988.33	Facility		$134.90	$4,570.88	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $173.78	Professional		$147.91	$173.78	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $51.29 / $104.71	Facility		$23.44	$51.29	$104.71