Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.84 / $296.08 / $516.48	Facility		$151.84	$296.08	$516.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $110.20 / $151.84	Professional		$21.00	$110.20	$151.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.09 / $70.39 / $168.62	Facility		$62.09	$70.39	$168.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $62.78 / $78.47	Professional		$62.78	$62.78	$78.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.04 / $281.67 / $13,785.00	Facility		$119.04	$281.67	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,611,110.45 / $6,611,110.45 / $6,611,110.45	Professional		$6,611,110.45	$6,611,110.45	$6,611,110.45
United Facility/Professional Facility Modifier Low / Median / High Price $27.21 / $27.21 / $27.21	Facility		$27.21	$27.21	$27.21
United Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $14.88	Professional		$14.88	$14.88	$14.88