Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $4,162.07 / $6,690.19	Facility		$203.58	$4,162.07	$6,690.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $205.62	Professional		$203.58	$203.58	$205.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $240.75 / $311.56	Facility		$192.06	$240.75	$311.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.59 / $911.37 / $13,785.00	Facility		$204.59	$911.37	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $212.20 / $218.78	Professional		$212.20	$212.20	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $221.29 / $319.92	Professional		$203.58	$221.29	$319.92