Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $202.07 / $349.68	Facility		$143.31	$202.07	$349.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.33 / $139.94 / $143.31	Professional		$116.33	$139.94	$143.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $168.60 / $185.46	Facility		$143.31	$168.60	$185.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.94 / $13,785.00 / $13,785.00	Facility		$139.94	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $168.60	Professional		$140.50	$140.50	$168.60