Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $128.47 / $244.28	Facility		$86.38	$128.47	$244.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $87.25	Professional		$86.38	$86.38	$87.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.38 / $326.70 / $383.76	Facility		$86.38	$326.70	$383.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $86.38	Professional		$86.38	$86.38	$86.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.41 / $8,702.00 / $13,785.00	Facility		$90.41	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.56 / $89.56 / $187.55	Professional		$89.56	$89.56	$187.55
United Facility/Professional Professional Modifier Low / Median / High Price $86.38 / $86.38 / $468.47	Professional		$86.38	$86.38	$468.47