Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.93 / $263.57 / $456.11	Facility		$186.93	$263.57	$456.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $182.53 / $186.93	Professional		$151.74	$182.53	$186.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $186.93 / $241.90	Facility		$10.44	$186.93	$241.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.93 / $186.93 / $186.93	Professional		$186.93	$186.93	$186.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.84 / $3,243.00 / $13,785.00	Facility		$192.84	$3,243.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.44 / $186.93 / $186.93	Professional		$13.44	$186.93	$186.93
United Facility/Professional Facility Modifier Low / Median / High Price $125.22 / $125.22 / $125.22	Facility		$125.22	$125.22	$125.22
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $183.26 / $219.92	Professional		$183.26	$183.26	$219.92