Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $198.81 / $386.34	Facility		$141.60	$198.81	$386.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $143.02	Professional		$141.60	$141.60	$143.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $141.60 / $181.14	Facility		$133.59	$141.60	$181.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.56 / $3,243.00 / $13,785.00	Facility		$136.56	$3,243.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $134.91 / $134.91	Professional		$110.42	$134.91	$134.91
United Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $171.93	Professional		$141.60	$141.60	$171.93