Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $3,184.74 / $10,631.09	Facility		$12.99	$3,184.74	$10,631.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $13.12	Professional		$12.99	$12.99	$13.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $14.35 / $18.57	Facility		$12.99	$14.35	$18.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $12.99	Professional		$12.99	$12.99	$12.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $57.65 / $13,785.00	Facility		$21.64	$57.65	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $13.29 / $13.29	Professional		$12.97	$13.29	$13.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $12.99 / $19.57	Professional		$12.99	$12.99	$19.57