Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $158.49 / $288.40	Facility		$134.90	$158.49	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $144.54	Professional		$104.71	$104.71	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $123.03 / $158.49	Facility		$97.72	$123.03	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $9,332.54 / $23,988.33	Facility		$194.98	$9,332.54	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Professional		$100.00	$100.00	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $123.03 / $181.97	Facility		$85.11	$123.03	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $120.23	Professional		$104.71	$104.71	$120.23