Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,467.37 / $10,000.00	Facility		$758.58	$3,467.37	$10,000.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,709.64 / $21,379.62	Facility		$3,890.45	$8,709.64	$21,379.62