Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Facility		$140.00	$140.00	$140.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $140.00 / $140.00	Professional		$140.00	$140.00	$140.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.29 / $223.29 / $223.29	Facility		$223.29	$223.29	$223.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.85 / $330.85 / $330.85	Professional		$330.85	$330.85	$330.85
United Facility/Professional Professional Modifier Low / Median / High Price $156.43 / $198.51 / $330.85	Professional		$156.43	$198.51	$330.85