Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $5,982.00 / $11,298.00	Facility		$192.80	$5,982.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.80 / $192.80 / $279.22	Professional		$192.80	$192.80	$279.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,970.45 / $10,970.45 / $11,390.60	Facility		$10,970.45	$10,970.45	$11,390.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.02 / $335.48 / $681.28	Professional		$228.02	$335.48	$681.28
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 $251.90 / $351.10 / $803.72	Professional		$251.90	$351.10	$803.72