Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.20 / $180.20 / $180.20	Facility		$180.20	$180.20	$180.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $180.20 / $180.20	Professional		$180.20	$180.20	$180.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.21 / $203.81 / $207.33	Facility		$160.21	$203.81	$207.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.16 / $203.81 / $203.81	Professional		$175.16	$203.81	$203.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.67 / $13,785.00 / $13,785.00	Facility		$193.67	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.63 / $190.80 / $190.80	Professional		$169.63	$190.80	$190.80
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $200.17 / $218.36	Professional		$181.97	$200.17	$218.36