Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,703.96	Facility		$134.90	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $173.78	Professional		$162.18	$162.18	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $478.63	Professional		$114.82	$114.82	$478.63