Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.02 / $4,736.00 / $9,383.00	Facility		$181.02	$4,736.00	$9,383.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $73.86 / $73.86 / $119.05	Facility	52	$73.86	$73.86	$119.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,721.86 / $3,721.86 / $8,795.46	Facility		$3,721.86	$3,721.86	$8,795.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00