Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $162.41 / $322.18	Facility		$131.16	$162.41	$322.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $132.47	Professional		$131.16	$131.16	$132.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.16 / $171.69 / $222.19	Facility		$131.16	$171.69	$222.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $131.16 / $131.16	Professional		$131.16	$131.16	$131.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.51 / $1,165.00 / $13,785.00	Facility		$218.51	$1,165.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $134.06 / $134.06	Professional		$88.19	$134.06	$134.06
United Facility/Professional Facility Modifier Low / Median / High Price $314.20 / $314.20 / $314.20	Facility		$314.20	$314.20	$314.20
United Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $146.01 / $392.50	Professional		$131.16	$146.01	$392.50