Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $235.56 / $457.74	Facility		$170.48	$235.56	$457.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $172.18	Professional		$170.48	$170.48	$172.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.48 / $560.44 / $725.27	Facility		$170.48	$560.44	$725.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $170.48	Professional		$170.48	$170.48	$170.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.23 / $488.85 / $13,785.00	Facility		$323.23	$488.85	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.06 / $167.06 / $550.33	Professional		$167.06	$167.06	$550.33
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $170.48 / $208.91	Professional		$170.48	$170.48	$208.91