Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $257.04 / $575.44	Facility		$213.80	$257.04	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $234.42	Professional		$169.82	$169.82	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $251.19	Facility		$158.49	$194.98	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $9,549.93 / $25,118.86	Facility		$275.42	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $199.53 / $269.15	Facility		$134.90	$199.53	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $190.55	Professional		$169.82	$169.82	$190.55