Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $178.00 / $345.90	Facility		$127.45	$178.00	$345.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $128.72	Professional		$127.45	$127.45	$128.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $160.90 / $208.22	Facility		$127.45	$160.90	$208.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.33 / $299.14 / $13,785.00	Facility		$212.33	$299.14	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $148.66	Professional		$126.24	$126.24	$148.66
United Facility/Professional Facility Modifier Low / Median / High Price $135.37 / $135.37 / $160.38	Facility		$135.37	$135.37	$160.38
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $156.18	Professional		$127.45	$127.45	$156.18