Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $119.60 / $119.61	Facility		$15.47	$119.60	$119.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.61 / $119.61 / $119.61	Professional		$119.61	$119.61	$119.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $119.66 / $131.35	Facility		$96.39	$119.66	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.35 / $131.35 / $131.35	Professional		$131.35	$131.35	$131.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.00 / $13,785.00 / $13,785.00	Facility		$3,243.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $31.67 / $31.67	Professional		$28.80	$31.67	$31.67
United Facility/Professional Professional Modifier Low / Median / High Price $117.28 / $129.01 / $143.72	Professional		$117.28	$129.01	$143.72