Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $143.10 / $278.08	Facility		$102.94	$143.10	$278.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $103.96	Professional		$102.94	$102.94	$103.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.94 / $141.53 / $183.15	Facility		$102.94	$141.53	$183.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.50 / $377.17 / $13,785.00	Facility		$171.50	$377.17	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $141.53	Professional		$101.49	$101.49	$141.53
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $174.98	Facility		$102.93	$102.93	$174.98
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $126.15	Professional		$102.94	$102.94	$126.15