Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.65 / $4,516.00 / $9,284.00	Facility		$805.65	$4,516.00	$9,284.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $604.24 / $604.24 / $711.69	Facility	54	$604.24	$604.24	$711.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,139.98 / $3,520.85 / $7,420.39	Facility		$3,139.98	$3,520.85	$7,420.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,523.00 / $9,152.00	Facility		$3,705.00	$5,523.00	$9,152.00