Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $11.05	Facility		$3.63	$3.63	$11.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.67	Professional		$3.63	$3.63	$3.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $23.75 / $30.73	Facility		$3.63	$23.75	$30.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $43.33 / $13,785.00	Facility		$8.43	$43.33	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $5.61 / $11.34	Professional		$5.61	$5.61	$11.34
United Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $18.02 / $18.02	Facility		$18.02	$18.02	$18.02
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $27.94	Professional		$3.63	$3.63	$27.94