Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $590.91 / $4,037.00 / $8,419.00	Facility		$590.91	$4,037.00	$8,419.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $295.45 / $295.45 / $364.26	Facility	52	$295.45	$295.45	$364.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $443.18 / $443.18 / $546.39	Facility	54	$443.18	$443.18	$546.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.92 / $3,890.91 / $8,437.42	Facility		$3,565.92	$3,890.91	$8,437.42
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,523.00 / $10,536.00	Facility		$3,705.00	$5,523.00	$10,536.00