Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,059.00 / $5,975.00 / $10,692.00	Facility		$3,059.00	$5,975.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,189.00 / $7,918.00 / $12,384.00	Professional		$4,189.00	$7,918.00	$12,384.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,197.59 / $24,378.15 / $48,272.06	Facility		$23,197.59	$24,378.15	$48,272.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.88 / $437.50 / $437.50	Professional		$371.88	$437.50	$437.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00