Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,615.52 / $6,915.00 / $12,964.00	Facility		$1,615.52	$6,915.00	$12,964.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $8,605.00 / $8,605.00 / $8,605.00	Facility	22	$8,605.00	$8,605.00	$8,605.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,426.63 / $20,426.63 / $48,272.06	Facility		$20,426.63	$20,426.63	$48,272.06
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00