Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.63 / $97.63 / $753.00	Facility		$97.63	$97.63	$753.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $179.28 / $255.38	Professional		$97.63	$179.28	$255.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,906.24 / $2,906.24 / $3,601.29	Facility		$2,906.24	$2,906.24	$3,601.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.08 / $202.34 / $233.92	Professional		$193.08	$202.34	$233.92