Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Facility		$79.00	$79.00	$79.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $79.00	Professional		$79.00	$79.00	$79.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.48 / $77.04 / $127.07	Facility		$65.48	$77.04	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.25 / $118.25 / $118.25	Professional		$118.25	$118.25	$118.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $440.61 / $525.24 / $969.02	Facility		$440.61	$525.24	$969.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.20 / $178.20 / $178.20	Professional		$178.20	$178.20	$178.20
United Facility/Professional Facility Modifier Low / Median / High Price $189.63 / $189.63 / $231.00	Facility		$189.63	$189.63	$231.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $195.94 / $223.84	Professional		$195.94	$195.94	$223.84