Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.86 / $5,982.00 / $11,298.00	Facility		$655.86	$5,982.00	$11,298.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,967.00 / $8,967.00 / $8,967.00	Facility	50	$8,967.00	$8,967.00	$8,967.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,168.06 / $9,168.06 / $18,619.81	Facility		$9,168.06	$9,168.06	$18,619.81
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $8,305.00 / $14,121.00	Facility		$3,885.00	$8,305.00	$14,121.00