Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $131.83 / $239.88	Facility		$112.20	$131.83	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $123.03	Professional		$87.10	$87.10	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $102.33 / $131.83	Facility		$83.18	$102.33	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $10,471.29 / $25,118.86	Facility		$165.96	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $87.10	Professional		$85.11	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $147.91	Facility		$87.10	$87.10	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $100.00	Professional		$87.10	$87.10	$100.00