Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.56 / $239.86 / $239.86	Facility		$22.56	$239.86	$239.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.86 / $239.86 / $239.86	Professional		$239.86	$239.86	$239.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.47 / $185.67 / $263.38	Facility		$143.47	$185.67	$263.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.38 / $263.38 / $263.38	Professional		$263.38	$263.38	$263.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.91 / $151.91 / $151.91	Professional		$151.91	$151.91	$151.91
United Facility/Professional Professional Modifier Low / Median / High Price $235.16 / $258.68 / $282.19	Professional		$235.16	$258.68	$282.19