Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $78.23 / $152.02	Facility		$54.71	$78.23	$152.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $55.25	Professional		$54.71	$54.71	$55.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $65.00 / $84.12	Facility		$54.71	$65.00	$84.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Professional		$54.71	$54.71	$54.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.83 / $200.46 / $13,785.00	Facility		$56.83	$200.46	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $55.48 / $61.17	Professional		$55.48	$55.48	$61.17
United Facility/Professional Professional Modifier Low / Median / High Price $54.71 / $54.71 / $67.04	Professional		$54.71	$54.71	$67.04