Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $28.84	Professional		$15.85	$23.99	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $54.95	Professional		$23.99	$30.20	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,888.44 / $10,471.29	Facility		$1,698.24	$5,888.44	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $27.54 / $50.12	Professional		$19.05	$27.54	$50.12