Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $103.48 / $201.09	Facility		$71.52	$103.48	$201.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $72.23	Professional		$71.52	$71.52	$72.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $92.12 / $119.22	Facility		$71.52	$92.12	$119.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $71.52	Professional		$71.52	$71.52	$71.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $13,785.00 / $13,785.00	Facility		$73.95	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $73.39 / $73.39	Professional		$73.09	$73.39	$73.39
United Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $87.64	Professional		$71.52	$71.52	$87.64