Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $366.75 / $4,128.00 / $9,842.00	Facility		$366.75	$4,128.00	$9,842.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $196.48 / $282.13 / $420.47	Facility	54	$196.48	$282.13	$420.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.11 / $1,192.42 / $2,684.77	Facility		$1,032.11	$1,192.42	$2,684.77
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