Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $182.71 / $8,493.41	Facility		$129.47	$182.71	$8,493.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $130.77	Professional		$129.47	$129.47	$130.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.47 / $146.50 / $189.59	Facility		$129.47	$146.50	$189.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $129.47	Professional		$129.47	$129.47	$129.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.50 / $579.64 / $13,785.00	Facility		$129.50	$579.64	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $128.83 / $128.83	Professional		$122.55	$128.83	$128.83
United Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $129.47 / $147.18	Professional		$129.47	$129.47	$147.18