Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $52.36 / $135.78	Facility		$28.61	$52.36	$135.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.90	Professional		$28.61	$28.61	$28.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $46.88 / $113.90	Facility		$28.61	$46.88	$113.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $13,785.00 / $13,785.00	Facility		$22.22	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $31.96 / $33.47	Professional		$27.77	$31.96	$33.47
United Facility/Professional Facility Modifier Low / Median / High Price $37.06 / $37.06 / $37.06	Facility		$37.06	$37.06	$37.06
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $35.06	Professional		$28.61	$28.61	$35.06