Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $110.59 / $214.90	Facility		$78.93	$110.59	$214.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $79.72	Professional		$78.93	$78.93	$79.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $96.08 / $124.33	Facility		$78.93	$96.08	$124.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $78.93	Professional		$78.93	$78.93	$78.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.73 / $289.20 / $13,785.00	Facility		$79.73	$289.20	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $79.73 / $80.78	Professional		$79.73	$79.73	$80.78
United Facility/Professional Facility Modifier Low / Median / High Price $97.28 / $97.28 / $97.28	Facility		$97.28	$97.28	$97.28
United Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $78.93 / $96.00	Professional		$78.93	$78.93	$96.00