Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $528.72 / $914.95	Facility		$374.98	$528.72	$914.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.39 / $366.15 / $374.98	Professional		$304.39	$366.15	$374.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.55 / $168.88 / $374.98	Facility		$143.55	$168.88	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.81 / $374.98 / $374.98	Professional		$158.81	$374.98	$374.98
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $441.15	Professional		$367.63	$367.63	$441.15