Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $230.11 / $398.21	Facility		$163.19	$230.11	$398.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.47 / $159.36 / $163.19	Professional		$132.47	$159.36	$163.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $211.20	Facility		$163.19	$163.19	$211.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.36 / $13,785.00 / $13,785.00	Facility		$159.36	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.60 / $161.60 / $161.60	Professional		$161.60	$161.60	$161.60
United Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $160.00 / $192.00	Professional		$160.00	$160.00	$192.00