Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.46 / $134.83 / $215.67	Facility		$23.46	$134.83	$215.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $134.83 / $134.83	Professional		$134.83	$134.83	$134.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.13 / $148.32 / $154.16	Facility		$119.13	$148.32	$154.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $148.32 / $148.32	Professional		$107.97	$148.32	$148.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.69 / $13,785.00 / $13,785.00	Facility		$150.69	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $142.76 / $142.76	Professional		$130.84	$142.76	$142.76
United Facility/Professional Professional Modifier Low / Median / High Price $132.43 / $149.65 / $158.62	Professional		$132.43	$149.65	$158.62