Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $49.79 / $97.19	Facility		$39.82	$49.79	$97.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $40.22	Professional		$39.83	$39.83	$40.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.83 / $46.71 / $60.45	Facility		$39.83	$46.71	$60.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $168.98 / $13,785.00	Facility		$75.52	$168.98	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $43.25	Professional		$39.83	$39.83	$43.25
United Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Facility		$39.75	$39.75	$39.75
United Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $45.60	Professional		$39.83	$39.83	$45.60