Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Facility		$81.59	$81.59	$81.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $79.68 / $81.59	Professional		$66.23	$79.68	$81.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.68 / $13,785.00 / $13,785.00	Facility		$79.68	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $81.59 / $81.59	Professional		$81.59	$81.59	$81.59