Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $57.76 / $165.24	Facility		$38.25	$57.76	$165.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $37.35 / $38.25	Professional		$31.05	$37.35	$38.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $38.25 / $49.50	Facility		$2.11	$38.25	$49.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.35 / $13,785.00 / $13,785.00	Facility		$37.35	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Professional		$38.25	$38.25	$38.25
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $45.94	Professional		$37.50	$37.50	$45.94