Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $140.75 / $656.86	Facility		$140.75	$140.75	$656.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.75 / $140.75 / $140.75	Professional		$140.75	$140.75	$140.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.19 / $161.82 / $163.31	Facility		$126.19	$161.82	$163.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $161.82 / $186.80	Professional		$161.82	$161.82	$186.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $140.75 / $13,785.00 / $13,785.00	Facility		$140.75	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $133.34 / $152.12	Professional		$133.34	$133.34	$152.12
United Facility/Professional Facility Modifier Low / Median / High Price $140.76 / $140.76 / $140.76	Facility		$140.76	$140.76	$140.76
United Facility/Professional Professional Modifier Low / Median / High Price $144.47 / $163.26 / $173.08	Professional		$144.47	$163.26	$173.08