Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $34.27 / $139.05	Facility		$34.27	$34.27	$139.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $48.45 / $64.14	Professional		$34.27	$48.45	$64.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $50.31 / $50.31	Professional		$50.31	$50.31	$50.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.04 / $307.27 / $640.88	Facility		$244.04	$307.27	$640.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $63.55 / $66.80	Professional		$54.02	$63.55	$66.80
United Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $73.19 / $129.08	Professional		$47.50	$73.19	$129.08