Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $156.97 / $207.75	Facility		$16.76	$156.97	$207.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $156.97 / $156.97	Professional		$156.97	$156.97	$156.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.99 / $111.29 / $172.37	Facility		$85.99	$111.29	$172.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Professional		$172.37	$172.37	$172.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.50 / $8,702.00 / $13,785.00	Facility		$115.50	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.24 / $109.42 / $109.42	Professional		$99.24	$109.42	$109.42
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $153.90 / $181.60	Professional		$149.63	$153.90	$181.60