Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.95 / $170.95 / $3,649.35	Facility		$170.95	$170.95	$3,649.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $170.95 / $264.05	Professional		$136.00	$170.95	$264.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.25 / $214.41 / $306.00	Facility		$182.25	$214.41	$306.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $306.00 / $306.00	Professional		$306.00	$306.00	$306.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.11 / $296.60 / $311.79	Professional		$252.11	$296.60	$311.79
United Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $342.72	Professional		$300.00	$300.00	$342.72