Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.77 / $163.77 / $163.77	Facility		$163.77	$163.77	$163.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $175.28 / $175.28	Professional		$143.75	$175.28	$175.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.80 / $460.82 / $567.89	Facility		$253.80	$460.82	$567.89
United Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $53.35 / $53.35	Professional		$53.35	$53.35	$53.35