Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.34 / $127.54 / $156.88	Facility		$64.34	$127.54	$156.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $127.55 / $127.55	Professional		$127.55	$127.55	$127.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.31 / $134.47 / $140.16	Facility		$108.31	$134.47	$140.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.47 / $134.47 / $134.47	Professional		$134.47	$134.47	$134.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $121.82 / $121.82	Professional		$113.99	$121.82	$121.82
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $132.07 / $138.36	Professional		$120.06	$132.07	$138.36