Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.07 / $564.84 / $1,147.43	Facility		$298.07	$564.84	$1,147.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.26 / $256.64 / $300.62	Professional		$184.26	$256.64	$300.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,839.48 / $2,195.32 / $2,591.61	Facility		$1,839.48	$2,195.32	$2,591.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $209.08 / $302.56 / $514.82	Professional		$209.08	$302.56	$514.82
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 $185.42 / $266.79 / $610.79	Professional		$185.42	$266.79	$610.79