Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.01 / $5,695.00 / $10,695.00	Facility		$838.01	$5,695.00	$10,695.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,679.00 / $5,461.00 / $8,385.00	Facility	50	$4,679.00	$5,461.00	$8,385.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,132.43 / $5,671.88 / $11,519.32	Facility		$5,132.43	$5,671.88	$11,519.32
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