Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Professional		$67.61	$67.61	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $74.13 / $87.10	Facility		$45.71	$74.13	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $74.13 / $74.13	Professional		$16.60	$74.13	$74.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $11,481.54 / $25,118.86	Facility		$173.78	$11,481.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $72.44 / $79.43	Professional		$66.07	$72.44	$79.43