Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $223.87	Facility		$112.20	$134.90	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $87.10 / $123.03	Professional		$83.18	$87.10	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $114.82	Facility		$89.13	$89.13	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $11,481.54 / $25,703.96	Facility		$239.88	$11,481.54	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $100.00	Professional		$87.10	$87.10	$100.00