Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $56.94 / $110.64	Facility		$39.45	$56.94	$110.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.84	Professional		$39.45	$39.45	$39.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $55.80 / $91.90	Facility		$39.45	$55.80	$91.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $39.45	Professional		$39.45	$39.45	$39.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $13,785.00 / $13,785.00	Facility		$32.47	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $41.91 / $131.65	Professional		$41.91	$41.91	$131.65
United Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $39.45 / $48.34	Professional		$39.45	$39.45	$48.34