Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.90 / $280.45 / $485.32	Facility		$198.90	$280.45	$485.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $194.22 / $198.90	Professional		$161.46	$194.22	$198.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.70 / $206.70 / $227.37	Facility		$175.70	$206.70	$227.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $206.70	Professional		$206.70	$206.70	$206.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.28 / $310.08 / $632.66	Facility		$251.28	$310.08	$632.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $214.50 / $214.50	Professional		$214.50	$214.50	$214.50
United Facility/Professional Facility Modifier Low / Median / High Price $117.07 / $117.07 / $117.07	Facility		$117.07	$117.07	$117.07
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $246.87	Professional		$234.00	$234.00	$246.87