Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $138.04	Facility		$72.44	$72.44	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $147.91	Professional		$138.04	$138.04	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $204.17	Facility		$144.54	$177.83	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $9,549.93 / $25,118.86	Facility		$257.04	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $144.54	Professional		$131.83	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $173.78 / $269.15	Facility		$125.89	$173.78	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $199.53	Professional		$138.04	$151.36	$199.53