Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $294.23 / $11,155.02	Facility		$164.59	$294.23	$11,155.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $166.23	Professional		$164.59	$164.59	$166.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.59 / $196.97 / $254.90	Facility		$164.59	$196.97	$254.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $164.59	Professional		$164.59	$164.59	$164.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $283.26 / $603.05 / $13,785.00	Facility		$283.26	$603.05	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.13 / $168.13 / $175.90	Professional		$168.13	$168.13	$175.90
United Facility/Professional Facility Modifier Low / Median / High Price $172.61 / $172.61 / $211.00	Facility		$172.61	$172.61	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.59 / $164.59 / $201.70	Professional		$164.59	$164.59	$201.70