Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,176.00 / $6,012.00 / $10,692.00	Facility		$1,176.00	$6,012.00	$10,692.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,377.03 / $6,958.22 / $15,088.81	Facility		$6,377.03	$6,958.22	$15,088.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00