Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.35 / $156.46 / $663.95	Facility		$120.35	$156.46	$663.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $117.53 / $120.36	Professional		$97.70	$117.53	$120.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.58 / $120.36 / $153.44	Facility		$118.58	$120.36	$153.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.74 / $433.84 / $13,785.00	Facility		$183.74	$433.84	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $141.60	Professional		$118.00	$118.00	$141.60