Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,584.89	Facility		$467.74	$467.74	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $331.13	Professional		$208.93	$281.84	$331.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $9,332.54 / $25,118.86	Facility		$151.36	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $354.81	Professional		$275.42	$338.84	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $346.74 / $724.44	Facility		$165.96	$346.74	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $363.08	Professional		$144.54	$208.93	$363.08