Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $213.80	Facility		$100.00	$117.49	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $107.15	Professional		$77.62	$77.62	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $93.33 / $120.23	Facility		$72.44	$93.33	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $9,549.93 / $23,988.33	Facility		$102.33	$9,549.93	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $77.62	Professional		$75.86	$75.86	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $93.33 / $131.83	Facility		$66.07	$93.33	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Professional		$77.62	$77.62	$89.13