Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $267.55 / $519.91	Facility		$193.76	$267.55	$519.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $195.70	Professional		$193.76	$193.76	$195.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $201.66 / $260.98	Facility		$193.76	$201.66	$260.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.46 / $709.94 / $13,785.00	Facility		$333.46	$709.94	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.04 / $180.91 / $180.91	Professional		$171.04	$180.91	$180.91
United Facility/Professional Facility Modifier Low / Median / High Price $227.30 / $227.30 / $227.30	Facility		$227.30	$227.30	$227.30
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $223.51	Professional		$193.76	$193.76	$223.51