Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $4.55 / $8.85	Facility		$3.23	$4.55	$8.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.26	Professional		$3.23	$3.23	$3.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.23 / $3.76 / $4.86	Facility		$3.23	$3.76	$4.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.23	Professional		$3.23	$3.23	$3.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $8,702.00 / $13,785.00	Facility		$6.12	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.34	Professional		$3.23	$3.23	$3.34
United Facility/Professional Professional Modifier Low / Median / High Price $3.23 / $3.23 / $3.96	Professional		$3.23	$3.23	$3.96