Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Facility		$297.33	$297.33	$297.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.33 / $297.33 / $297.33	Professional		$297.33	$297.33	$297.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.50 / $330.00 / $363.00	Facility		$280.50	$330.00	$363.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.48 / $326.48 / $326.48	Professional		$326.48	$326.48	$326.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.50 / $8,702.00 / $13,785.00	Facility		$313.50	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $297.00 / $297.00	Professional		$280.50	$297.00	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.25 / $339.28 / $358.55	Professional		$300.25	$339.28	$358.55