Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.29 / $65.67 / $114.92	Facility		$56.29	$65.67	$114.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.67 / $65.67 / $65.67	Professional		$65.67	$65.67	$65.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.71 / $72.25 / $81.16	Facility		$62.71	$72.25	$81.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $72.25 / $72.25	Professional		$72.25	$72.25	$72.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.41 / $13,785.00 / $13,785.00	Facility		$73.41	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $69.54 / $78.31	Professional		$69.54	$69.54	$78.31
United Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $60.98 / $60.98	Facility		$60.98	$60.98	$60.98
United Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $77.26 / $83.85	Professional		$73.40	$77.26	$83.85