Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $299.43 / $671.06	Facility		$213.84	$299.43	$671.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $215.98	Professional		$213.84	$213.84	$215.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.84 / $241.35 / $312.33	Facility		$213.84	$241.35	$312.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $213.84	Professional		$213.84	$213.84	$213.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $405.44 / $907.22 / $13,785.00	Facility		$405.44	$907.22	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $212.36 / $213.99	Professional		$212.36	$212.36	$213.99
United Facility/Professional Facility Modifier Low / Median / High Price $206.26 / $206.26 / $206.26	Facility		$206.26	$206.26	$206.26
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $243.00	Professional		$213.84	$213.84	$243.00