Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $19.46 / $40.61	Facility		$6.05	$19.46	$40.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.11	Professional		$6.05	$6.05	$6.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $14.87 / $19.23	Facility		$6.05	$14.87	$19.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $6.05	Professional		$6.05	$6.05	$6.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $13.28 / $16.07	Professional		$10.99	$13.28	$16.07
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.05 / $26.08	Professional		$6.05	$6.05	$26.08