Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $177.56 / $350.00	Facility		$127.45	$177.56	$350.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Professional		$177.56	$177.56	$177.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.07 / $160.08 / $176.09	Facility		$136.07	$160.08	$176.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.44 / $174.44 / $174.44	Professional		$174.44	$174.44	$174.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $8,702.00 / $13,785.00	Facility		$177.56	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.21 / $168.21 / $173.89	Professional		$168.21	$168.21	$173.89
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $171.33 / $190.86	Professional		$155.75	$171.33	$190.86