Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $223.57 / $386.89	Facility		$158.56	$223.57	$386.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $154.83 / $158.56	Professional		$128.71	$154.83	$158.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.70 / $158.56 / $200.39	Facility		$85.70	$158.56	$200.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.19 / $8,702.00 / $13,785.00	Facility		$84.19	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.19 / $158.19 / $163.93	Professional		$158.19	$158.19	$163.93
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $155.44 / $177.59	Professional		$155.44	$155.44	$177.59