Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $105.55 / $205.12	Facility		$75.97	$105.55	$205.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $76.73	Professional		$75.97	$75.97	$76.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $128.35 / $166.10	Facility		$75.97	$128.35	$166.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $178.32 / $13,785.00	Facility		$126.57	$178.32	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $74.86 / $134.77	Professional		$74.86	$74.86	$134.77
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $129.15	Facility		$75.97	$75.97	$129.15
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $93.10	Professional		$75.97	$75.97	$93.10