Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Facility		$73.81	$73.81	$73.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $73.81 / $73.81	Professional		$73.81	$73.81	$73.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.05 / $72.52 / $85.47	Facility		$66.05	$72.52	$85.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $72.52 / $72.52	Professional		$72.52	$72.52	$72.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.81 / $13,785.00 / $13,785.00	Facility		$73.81	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $99.94 / $128.10	Professional		$69.93	$99.94	$128.10
United Facility/Professional Facility Modifier Low / Median / High Price $158.71 / $158.71 / $158.71	Facility		$158.71	$158.71	$158.71
United Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $77.88 / $90.46	Professional		$73.81	$77.88	$90.46