Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.49 / $251.19	Facility		$95.50	$158.49	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $190.55 / $229.09	Facility		$104.71	$190.55	$229.09