Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $776.25	Facility		$128.82	$213.80	$776.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $16.22	Professional		$10.96	$12.02	$16.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,118.86	Facility		$134.90	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $141.25 / $295.12	Facility		$67.61	$141.25	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $173.78	Professional		$60.26	$85.11	$173.78