Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $464.03 / $901.73	Facility		$329.05	$464.03	$901.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $332.34	Professional		$329.05	$329.05	$332.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.05 / $363.99 / $471.04	Facility		$329.05	$363.99	$471.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $329.05	Professional		$329.05	$329.05	$329.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.85 / $772.35 / $13,785.00	Facility		$318.85	$772.35	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.67 / $329.10 / $329.10	Professional		$305.67	$329.10	$329.10
United Facility/Professional Facility Modifier Low / Median / High Price $318.85 / $599.46 / $613.61	Facility		$318.85	$599.46	$613.61
United Facility/Professional Professional Modifier Low / Median / High Price $329.05 / $329.05 / $375.02	Professional		$329.05	$329.05	$375.02