Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.60 / $6,325.00 / $11,298.00	Facility		$13.60	$6,325.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $13.60 / $63.35	Professional		$13.60	$13.60	$63.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,192.21 / $9,192.21 / $11,390.60	Facility		$9,192.21	$9,192.21	$11,390.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $61.17 / $101.12	Professional		$48.32	$61.17	$101.12
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $55.54 / $137.18	Professional		$28.89	$55.54	$137.18