Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.68 / $12.68 / $15.60	Facility		$12.68	$12.68	$15.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $12.68 / $12.68	Professional		$12.68	$12.68	$12.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $11.97 / $13.17	Facility		$10.17	$11.97	$13.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $11.97 / $11.97	Professional		$11.97	$11.97	$11.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $20.71 / $20.71	Professional		$12.05	$20.71	$20.71
United Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $131.76 / $134.87	Facility		$49.62	$131.76	$134.87
United Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $51.46 / $58.79	Professional		$51.46	$51.46	$58.79