Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $122.59 / $238.22	Facility		$87.28	$122.59	$238.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $88.16	Professional		$87.28	$87.28	$88.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.00 / $87.28 / $106.12	Facility		$82.00	$87.28	$106.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.41 / $390.73 / $13,785.00	Facility		$145.41	$390.73	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $84.80 / $86.98	Professional		$84.80	$84.80	$86.98
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $105.94	Professional		$87.28	$87.28	$105.94