Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.55 / $164.41 / $202.24	Facility		$122.55	$164.41	$202.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $164.42 / $164.42	Professional		$164.42	$164.42	$164.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.63 / $219.62 / $232.46	Facility		$179.63	$219.62	$232.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.80 / $219.62 / $219.62	Professional		$186.80	$219.62	$219.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.42 / $13,785.00 / $13,785.00	Facility		$164.42	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.77 / $155.77 / $206.62	Professional		$155.77	$155.77	$206.62
United Facility/Professional Facility Modifier Low / Median / High Price $140.76 / $140.76 / $172.00	Facility		$140.76	$140.76	$172.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.42 / $185.79 / $235.16	Professional		$164.42	$185.79	$235.16