Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.91 / $4,168.69	Facility		$19.50	$22.91	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $20.89	Professional		$15.14	$15.14	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $22.91	Facility		$14.13	$16.98	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $10,471.29 / $25,118.86	Facility		$30.90	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $15.14	Professional		$14.79	$14.79	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $17.78 / $25.70	Facility		$12.59	$17.78	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $17.38	Professional		$15.14	$15.14	$17.38