Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.65 / $179.99 / $311.47	Facility		$127.65	$179.99	$311.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $124.65 / $127.65	Professional		$103.62	$124.65	$127.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $63.43 / $69.77	Facility		$53.92	$63.43	$69.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $127.65 / $127.65	Professional		$127.65	$127.65	$127.65
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $150.18	Professional		$125.15	$125.15	$150.18