Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $613.76 / $6,064.00 / $10,871.00	Facility		$613.76	$6,064.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.12 / $613.76 / $613.76	Professional		$469.12	$613.76	$613.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,715.96 / $17,367.83 / $35,273.11	Facility		$15,715.96	$17,367.83	$35,273.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.44 / $651.53 / $1,307.00	Professional		$437.44	$651.53	$1,307.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $446.56 / $680.98 / $1,584.17	Professional		$446.56	$680.98	$1,584.17