Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $954.99	Facility		$478.63	$562.34	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $363.08 / $524.81	Professional		$354.81	$363.08	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $371.54 / $489.78	Facility		$154.88	$371.54	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $11,481.54 / $25,703.96	Facility		$407.38	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $446.68	Professional		$371.54	$407.38	$446.68