Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $309.03 / $316.23	Facility		$83.18	$309.03	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $288.40	Professional		$83.18	$93.33	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $95.50 / $109.65	Facility		$85.11	$95.50	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $95.50	Professional		$93.33	$95.50	$95.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $11,481.54 / $25,703.96	Facility		$109.65	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $131.83	Professional		$83.18	$91.20	$131.83