Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $161.41 / $360.38	Facility		$112.45	$161.41	$360.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $113.58	Professional		$112.45	$112.45	$113.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $158.05 / $196.34	Facility		$112.45	$158.05	$196.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $248.08 / $13,785.00 / $13,785.00	Facility		$248.08	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $114.48 / $128.71	Professional		$114.48	$114.48	$128.71
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $432.75	Professional		$112.45	$112.45	$432.75