Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.02 / $2,427.00 / $7,773.00	Facility		$165.02	$2,427.00	$7,773.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.21 / $65.66 / $199.21	Facility	53	$31.21	$65.66	$199.21
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 $2,031.42 / $2,216.56 / $4,806.54	Facility		$2,031.42	$2,216.56	$4,806.54
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