Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.81 / $133.47 / $351.64	Facility		$48.81	$133.47	$351.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $133.47 / $133.47	Professional		$133.47	$133.47	$133.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.43 / $140.50 / $154.55	Facility		$119.43	$140.50	$154.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $131.13 / $131.13	Professional		$25.14	$131.13	$131.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.47 / $13,785.00 / $13,785.00	Facility		$133.47	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.45 / $126.45 / $133.47	Professional		$126.45	$126.45	$133.47
United Facility/Professional Professional Modifier Low / Median / High Price $117.08 / $132.30 / $140.50	Professional		$117.08	$132.30	$140.50