Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,118.00 / $6,628.00 / $11,298.00	Facility		$4,118.00	$6,628.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $981.37 / $981.37 / $11,298.00	Professional		$981.37	$981.37	$11,298.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,081.78 / $5,544.92 / $12,024.06	Facility		$5,081.78	$5,544.92	$12,024.06
United Facility/Professional Facility Modifier Low / Median / High Price $3,425.00 / $5,265.00 / $10,536.00	Facility		$3,425.00	$5,265.00	$10,536.00