Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $124.69 / $215.77	Facility		$88.43	$124.69	$215.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $86.35 / $88.43	Professional		$71.79	$86.35	$88.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $104.04 / $114.44	Facility		$88.43	$104.04	$114.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.35 / $13,785.00 / $13,785.00	Facility		$86.35	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $104.04	Professional		$86.70	$86.70	$104.04