Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Facility		$191.92	$191.92	$191.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.92 / $191.92 / $191.92	Professional		$191.92	$191.92	$191.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.51 / $94.71 / $188.55	Facility		$93.51	$94.71	$188.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.03 / $188.55 / $188.55	Professional		$122.03	$188.55	$188.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.54 / $13,785.00 / $16,128.00	Facility		$161.54	$13,785.00	$16,128.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.40 / $153.04 / $153.04	Professional		$140.40	$153.04	$153.04
United Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $190.24 / $202.02	Professional		$168.35	$190.24	$202.02