Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,034.18 / $6,012.00 / $10,871.00	Facility		$1,034.18	$6,012.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.05 / $893.73 / $1,105.05	Professional		$656.05	$893.73	$1,105.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,173.32 / $4,611.96 / $5,243.67	Facility		$4,173.32	$4,611.96	$5,243.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $742.50 / $1,080.36 / $1,807.31	Professional		$742.50	$1,080.36	$1,807.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.09 / $987.61 / $2,129.55	Professional		$641.09	$987.61	$2,129.55