Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $162.97 / $656.60	Facility		$162.97	$162.97	$656.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $162.97 / $162.97	Professional		$162.97	$162.97	$162.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $197.25 / $216.98	Facility		$163.06	$197.25	$216.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $203.81 / $203.81	Professional		$185.93	$203.81	$203.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.96 / $8,702.00 / $13,785.00	Facility		$156.96	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $190.80 / $190.80	Professional		$184.31	$190.80	$190.80
United Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $179.28 / $218.36	Professional		$162.97	$179.28	$218.36