Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $6,918.31 / $11,748.98	Facility		$4,466.84	$6,918.31	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $52.48 / $208.93	Professional		$12.88	$52.48	$208.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $15,135.61 / $22,908.68	Facility		$9,549.93	$15,135.61	$22,908.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $138.04	Professional		$47.86	$67.61	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,709.64 / $21,379.62	Facility		$3,890.45	$8,709.64	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $53.70 / $125.89	Professional		$26.30	$53.70	$125.89