Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $66.36 / $126.24	Facility		$53.95	$66.36	$126.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $52.68 / $53.95	Professional		$43.79	$52.68	$53.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $63.47 / $69.81	Facility		$53.95	$63.47	$69.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.95 / $53.95 / $53.95	Professional		$53.95	$53.95	$53.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.82 / $175.81 / $442.75	Facility		$122.82	$175.81	$442.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $27.78 / $29.20	Professional		$23.61	$27.78	$29.20
United Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $52.89 / $63.47	Professional		$52.89	$52.89	$63.47