Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $81.12 / $140.37	Facility		$57.53	$81.12	$140.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $56.17 / $57.53	Professional		$46.70	$56.17	$57.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $74.45	Facility		$57.53	$57.53	$74.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Professional		$57.53	$57.53	$57.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.17 / $217.64 / $13,785.00	Facility		$56.17	$217.64	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $56.96 / $57.17	Professional		$56.96	$56.96	$57.17
United Facility/Professional Professional Modifier Low / Median / High Price $56.40 / $56.40 / $67.68	Professional		$56.40	$56.40	$67.68