Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.06 / $4,938.83 / $10,202.00	Facility		$148.06	$4,938.83	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $115.84 / $119.35	Professional		$103.62	$115.84	$119.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,652.53 / $4,531.29 / $8,642.31	Facility		$3,652.53	$4,531.29	$8,642.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.63 / $140.02 / $199.24	Professional		$114.63	$140.02	$199.24
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.80 / $144.49 / $264.88	Professional		$113.80	$144.49	$264.88