Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $55.86 / $108.56	Facility		$39.54	$55.86	$108.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.94	Professional		$39.54	$39.54	$39.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $57.03 / $62.73	Facility		$39.54	$57.03	$62.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $48.74	Professional		$41.11	$41.11	$48.74
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $82.00	Professional		$39.54	$39.54	$82.00