Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $56.23	Facility		$19.50	$19.50	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $691.83	Professional		$10.00	$19.95	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $257.04	Professional		$204.17	$204.17	$257.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $6,309.57 / $23,988.33	Facility		$138.04	$6,309.57	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $263.03	Professional		$223.87	$263.03	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $151.36 / $309.03	Facility		$74.13	$151.36	$309.03