Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,652.38 / $5,585.33 / $11,298.00	Facility		$2,652.38	$5,585.33	$11,298.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,459.00 / $5,559.00 / $5,559.00	Facility	22	$5,459.00	$5,559.00	$5,559.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,824.80 / $14,184.51 / $30,758.91	Facility		$11,824.80	$14,184.51	$30,758.91
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