Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Facility		$163.24	$163.24	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Professional		$163.24	$163.24	$163.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $179.39 / $197.33	Facility		$152.47	$179.39	$197.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.85 / $172.85 / $172.85	Professional		$172.85	$172.85	$172.85
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $186.43 / $202.17	Professional		$164.98	$186.43	$202.17