Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,422.10 / $6,625.00 / $11,298.00	Facility		$1,422.10	$6,625.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,054.43 / $1,209.70 / $1,515.98	Professional		$1,054.43	$1,209.70	$1,515.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,015.87 / $15,917.17 / $37,661.98	Facility		$14,015.87	$15,917.17	$37,661.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,021.01 / $1,520.71 / $3,101.70	Professional		$1,021.01	$1,520.71	$3,101.70
United Facility/Professional Facility Modifier Low / Median / High Price $6,624.00 / $10,549.00 / $23,438.00	Facility		$6,624.00	$10,549.00	$23,438.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,062.30 / $1,701.05 / $3,845.68	Professional		$1,062.30	$1,701.05	$3,845.68