Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $6,325.00 / $11,298.00	Facility		$84.00	$6,325.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $161.72	Professional		$84.00	$84.00	$161.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,307.21 / $11,390.60 / $24,700.37	Facility		$10,307.21	$11,390.60	$24,700.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $170.24 / $296.27	Professional		$125.89	$170.24	$296.27
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 $130.35 / $178.75 / $461.98	Professional		$130.35	$178.75	$461.98