Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $21.19 / $41.18	Facility		$15.04	$21.19	$41.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.19	Professional		$15.04	$15.04	$15.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $17.66 / $22.86	Facility		$15.04	$17.66	$22.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $63.81 / $13,785.00	Facility		$15.02	$63.81	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $15.60 / $16.35	Professional		$15.60	$15.60	$16.35
United Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Facility		$15.15	$15.15	$15.15
United Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $18.00	Professional		$15.04	$15.04	$18.00