Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.97 / $214.29 / $355.63	Facility		$151.97	$214.29	$355.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.37 / $148.40 / $151.97	Professional		$123.37	$148.40	$151.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $119.30 / $151.97	Facility		$100.91	$119.30	$151.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $151.97 / $151.97	Professional		$151.97	$151.97	$151.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.40 / $13,785.00 / $13,785.00	Facility		$148.40	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $151.97 / $151.97	Professional		$61.18	$151.97	$151.97