Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.82 / $4,908.00 / $9,383.00	Facility		$329.82	$4,908.00	$9,383.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $164.91 / $164.91 / $269.87	Facility	52	$164.91	$164.91	$269.87
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $65.95 / $65.95 / $107.95	Facility	53	$65.95	$65.95	$107.95
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 $8,908.40 / $9,249.58 / $20,057.59	Facility		$8,908.40	$9,249.58	$20,057.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,188.00 / $10,536.00	Facility		$3,885.00	$7,188.00	$10,536.00