Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.28 / $66.14 / $114.46	Facility		$49.28	$66.14	$114.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.77	Professional		$49.28	$49.28	$49.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $40.90 / $49.28	Facility		$29.26	$40.90	$49.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $49.28	Professional		$49.28	$49.28	$49.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.32 / $13,785.00 / $13,785.00	Facility		$42.32	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.79 / $48.68 / $48.68	Professional		$38.79	$48.68	$48.68
United Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $49.28 / $58.96	Professional		$49.28	$49.28	$58.96