Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.83 / $4,174.00 / $9,860.00	Facility		$241.83	$4,174.00	$9,860.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $165.41 / $181.37 / $181.37	Facility	54	$165.41	$181.37	$181.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.18 / $534.49 / $1,184.44	Facility		$486.18	$534.49	$1,184.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00