Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Facility		$216.92	$216.92	$216.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Professional		$216.92	$216.92	$216.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $255.20 / $280.72	Facility		$216.92	$255.20	$280.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
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 $229.68 / $229.68 / $229.68	Professional		$229.68	$229.68	$229.68
United Facility/Professional Facility Modifier Low / Median / High Price $189.76 / $189.76 / $189.76	Facility		$189.76	$189.76	$189.76
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $240.96 / $258.48	Professional		$219.05	$240.96	$258.48