Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $64.59 / $142.10	Facility		$43.20	$64.59	$142.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Professional		$77.00	$77.00	$77.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,690.00 / $8,702.00 / $13,785.00	Facility		$1,690.00	$8,702.00	$13,785.00