Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $218.78	Facility		$102.33	$120.23	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $112.20	Professional		$79.43	$79.43	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $87.10 / $117.49	Facility		$75.86	$87.10	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $10,715.19 / $25,118.86	Facility		$100.00	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $75.86	Professional		$74.13	$74.13	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $141.25	Facility		$64.57	$79.43	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $91.20	Professional		$79.43	$79.43	$91.20