Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $872.02 / $6,064.00 / $11,298.00	Facility		$872.02	$6,064.00	$11,298.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $436.01 / $436.01 / $724.96	Facility	52	$436.01	$436.01	$724.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,111.00 / $86,853.65	Facility		$1,080.00	$3,111.00	$86,853.65
United Facility/Professional Facility Modifier Low / Median / High Price $6,435.00 / $12,619.00 / $29,990.00	Facility		$6,435.00	$12,619.00	$29,990.00