Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $2,145.73 / $2,994.25	Facility		$22.02	$2,145.73	$2,994.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.24	Professional		$22.02	$22.02	$22.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $26.60 / $34.42	Facility		$22.02	$26.60	$34.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $93.74 / $13,785.00	Facility		$41.06	$93.74	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.95 / $18.95 / $25.13	Professional		$18.95	$18.95	$25.13
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $43.83	Professional		$22.02	$22.02	$43.83