Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.64 / $5,153.00 / $9,842.00	Facility		$656.64	$5,153.00	$9,842.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,621.00 / $9,621.00 / $9,621.00	Facility	50	$9,621.00	$9,621.00	$9,621.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,957.78 / $4,296.03 / $5,397.86	Facility		$3,957.78	$4,296.03	$5,397.86
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00