Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.26 / $4,174.00 / $8,155.00	Facility		$237.26	$4,174.00	$8,155.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $118.63 / $118.63 / $167.46	Facility	52	$118.63	$118.63	$167.46
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $47.45 / $47.45 / $66.98	Facility	53	$47.45	$47.45	$66.98
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 / $4,441.85 / $8,185.41	Facility		$3,721.86	$4,441.85	$8,185.41
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