Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $25.68 / $49.90	Facility		$18.30	$25.68	$49.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.48	Professional		$18.30	$18.30	$18.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.30 / $19.85 / $25.69	Facility		$18.30	$19.85	$25.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $18.30	Professional		$18.30	$18.30	$18.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $77.64 / $13,785.00	Facility		$18.01	$77.64	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $18.21 / $18.21	Professional		$18.14	$18.21	$18.21
United Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $18.00 / $18.00	Facility		$18.00	$18.00	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $18.30 / $24.61	Professional		$18.30	$18.30	$24.61