Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $432.00	Facility		$50.38	$50.38	$432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.38 / $50.38 / $50.38	Professional		$50.38	$50.38	$50.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $70.08 / $113.64	Facility		$52.27	$70.08	$113.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $144.41 / $256.30	Facility		$120.38	$144.41	$256.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.51 / $11.51 / $11.51	Professional		$11.51	$11.51	$11.51
United Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $19.53 / $26.00	Facility		$19.53	$19.53	$26.00