Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.51 / $6,064.00 / $10,871.00	Facility		$575.51	$6,064.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.68 / $493.33 / $613.64	Professional		$426.68	$493.33	$613.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,478.58 / $19,746.74 / $35,273.11	Facility		$14,478.58	$19,746.74	$35,273.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.19 / $609.03 / $1,261.13	Professional		$413.19	$609.03	$1,261.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,505.00 / $5,803.00 / $10,105.00	Facility		$2,505.00	$5,803.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.76 / $643.24 / $1,496.32	Professional		$430.76	$643.24	$1,496.32