Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $156.83 / $311.10	Facility		$127.50	$156.83	$311.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $124.50 / $127.50	Professional		$103.50	$124.50	$127.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $165.00	Facility		$127.50	$127.50	$165.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.88 / $588.15 / $13,785.00	Facility		$218.88	$588.15	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
United Facility/Professional Facility Modifier Low / Median / High Price $290.62 / $290.62 / $290.62	Facility		$290.62	$290.62	$290.62
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $150.00	Professional		$125.00	$125.00	$150.00