Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $208.93 / $354.81	Facility		$177.83	$208.93	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $138.04 / $194.98	Professional		$128.82	$138.04	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $138.04 / $151.36	Facility		$117.49	$138.04	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,309.57 / $6,309.57	Facility		$5,623.41	$6,309.57	$6,309.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $363.08	Professional		$331.13	$331.13	$363.08