Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $208.93	Facility		$97.72	$114.82	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $107.15	Professional		$75.86	$75.86	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $93.33 / $120.23	Facility		$72.44	$93.33	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $9,549.93 / $25,118.86	Facility		$147.91	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $81.28 / $81.28	Professional		$79.43	$81.28	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $97.72 / $131.83	Facility		$70.79	$97.72	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $87.10	Professional		$75.86	$75.86	$87.10