Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.22 / $3,259.00 / $9,383.00	Facility		$393.22	$3,259.00	$9,383.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $196.61 / $196.61 / $249.18	Facility	52	$196.61	$196.61	$249.18
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $294.92 / $294.92 / $373.77	Facility	54	$294.92	$294.92	$373.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $534.49 / $583.20 / $1,184.44	Facility		$534.49	$583.20	$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