Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $172.73 / $384.78	Facility		$140.99	$172.73	$384.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $142.40	Professional		$140.99	$140.99	$142.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.99 / $155.44 / $201.16	Facility		$140.99	$155.44	$201.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $140.99 / $140.99	Professional		$140.99	$140.99	$140.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $267.32 / $631.16 / $13,785.00	Facility		$267.32	$631.16	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.82 / $140.43 / $140.43	Professional		$131.82	$140.43	$140.43
United Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $147.77 / $172.78	Professional		$140.99	$147.77	$172.78