Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $87.63 / $174.77	Facility		$61.80	$87.63	$174.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $62.41	Professional		$61.80	$61.80	$62.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $276.23 / $357.48	Facility		$61.80	$276.23	$357.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.96 / $8,702.00 / $13,785.00	Facility		$102.96	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.86 / $83.86 / $187.51	Professional		$83.86	$83.86	$187.51
United Facility/Professional Facility Modifier Low / Median / High Price $183.98 / $183.98 / $183.98	Facility		$183.98	$183.98	$183.98
United Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $90.28	Professional		$61.80	$61.80	$90.28