Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.20 / $6,909.00 / $12,831.00	Facility		$700.20	$6,909.00	$12,831.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $525.15 / $525.15 / $719.85	Facility	54	$525.15	$525.15	$719.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,017.54 / $6,304.39 / $12,024.06	Facility		$5,017.54	$6,304.39	$12,024.06
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