Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $199.53	Facility		$190.55	$194.98	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $316.23	Facility		$64.57	$128.82	$316.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $63.10 / $1,862.09	Facility		$4.68	$63.10	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11