Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $111.94 / $217.53	Facility		$79.26	$111.94	$217.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $80.05	Professional		$79.26	$79.26	$80.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $81.50 / $105.47	Facility		$79.26	$81.50	$105.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.41 / $336.26 / $13,785.00	Facility		$136.41	$336.26	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.23 / $77.95 / $77.95	Professional		$67.23	$77.95	$77.95
United Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $64.37 / $64.37	Facility		$64.37	$64.37	$64.37
United Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $91.75	Professional		$79.26	$79.26	$91.75