Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $9,772.37 / $25,703.96	Facility		$134.90	$9,772.37	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Professional		$169.82	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $177.83	Facility		$83.18	$83.18	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $257.04	Professional		$74.13	$104.71	$257.04