Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $244.56 / $511.79	Facility		$165.83	$244.56	$511.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $167.49	Professional		$165.83	$165.83	$167.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.83 / $165.83 / $201.66	Facility		$155.83	$165.83	$201.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.37 / $703.53 / $13,785.00	Facility		$163.37	$703.53	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $160.32 / $160.32	Professional		$145.97	$160.32	$160.32
United Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $121.92 / $121.92	Facility		$121.92	$121.92	$121.92
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $197.07	Professional		$165.83	$165.83	$197.07