Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $1,194.00 / $1,194.00	Facility		$1,194.00	$1,194.00	$1,194.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $973.77 / $973.77 / $1,194.00	Professional		$973.77	$973.77	$1,194.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,624.35 / $1,911.00 / $1,911.00	Professional		$1,624.35	$1,911.00	$1,911.00