Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $38.20 / $184.95	Facility		$30.32	$38.20	$184.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.63	Professional		$30.32	$30.32	$30.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.32 / $103.35 / $133.75	Facility		$30.32	$103.35	$133.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.22 / $128.63 / $13,785.00	Facility		$60.22	$128.63	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $24.52 / $331.37	Professional		$24.52	$24.52	$331.37
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $33.75 / $392.55	Professional		$30.32	$33.75	$392.55