Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,445.44	Facility		$537.03	$537.03	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $245.47 / $812.83	Professional		$104.71	$245.47	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $3,890.45 / $23,988.33	Facility		$138.04	$3,890.45	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $75.86	Professional		$63.10	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $602.56	Facility		$151.36	$295.12	$602.56