Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.12 / $98.12 / $98.12	Facility		$98.12	$98.12	$98.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $83.84 / $98.12	Professional		$56.42	$83.84	$98.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,985.42 / $3,985.42 / $3,985.42	Facility		$3,985.42	$3,985.42	$3,985.42
United Facility/Professional Professional Modifier Low / Median / High Price $67.59 / $93.83 / $177.10	Professional		$67.59	$93.83	$177.10