Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $317.52 / $1,373.17	Facility		$225.11	$317.52	$1,373.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $227.36	Professional		$225.11	$225.11	$227.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.11 / $260.70 / $337.39	Facility		$225.11	$260.70	$337.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $225.11	Professional		$225.11	$225.11	$225.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.41 / $824.80 / $13,785.00	Facility		$387.41	$824.80	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.21 / $214.57 / $214.57	Professional		$211.21	$214.57	$214.57
United Facility/Professional Facility Modifier Low / Median / High Price $225.56 / $225.56 / $225.56	Facility		$225.56	$225.56	$225.56
United Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $225.11 / $261.27	Professional		$225.11	$225.11	$261.27