Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $446.68 / $2,137.96	Facility		$12.02	$446.68	$2,137.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $60.26	Professional		$8.91	$8.91	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $181.97 / $295.12	Facility		$120.23	$181.97	$295.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $33.88	Professional		$28.84	$28.84	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $134.90 / $295.12	Facility		$87.10	$134.90	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62