Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.47 / $693.47 / $693.47	Facility		$693.47	$693.47	$693.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.25 / $792.90 / $1,514.42	Professional		$595.25	$792.90	$1,514.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.87 / $109.87 / $109.87	Facility		$109.87	$109.87	$109.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $93.39 / $147.10	Professional		$93.39	$93.39	$147.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,213.04 / $1,213.04 / $1,213.04	Professional		$1,213.04	$1,213.04	$1,213.04
United Facility/Professional Professional Modifier Low / Median / High Price $82.23 / $98.58 / $620.04	Professional		$82.23	$98.58	$620.04