Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.05 / $4,786.30	Facility		$15.85	$19.05	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.59 / $4,786.30	Professional		$12.02	$12.59	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $18.62	Facility		$12.02	$14.45	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $8,709.64 / $23,988.33	Facility		$16.22	$8,709.64	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.14 / $20.42	Facility		$10.72	$15.14	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $14.45	Professional		$12.59	$12.59	$14.45