Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.57 / $6,625.00 / $11,298.00	Facility		$867.57	$6,625.00	$11,298.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $478.01 / $478.01 / $650.67	Facility	54	$478.01	$478.01	$650.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,622.47 / $5,544.92 / $11,261.39	Facility		$4,622.47	$5,544.92	$11,261.39
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,250.00 / $10,536.00	Facility		$3,885.00	$7,250.00	$10,536.00