Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.00 / $5,192.00 / $10,692.00	Facility		$1,715.00	$5,192.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.54 / $211.57 / $238.86	Professional		$155.54	$211.57	$238.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.04 / $133.13 / $12,381.00	Facility		$129.04	$133.13	$12,381.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.31 / $210.81 / $329.15	Professional		$144.31	$210.81	$329.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,846.00 / $7,273.00 / $10,536.00	Facility		$1,846.00	$7,273.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $190.20 / $372.53	Professional		$117.47	$190.20	$372.53