Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $943.66 / $5,843.00 / $9,742.50	Facility		$943.66	$5,843.00	$9,742.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,818.00 / $6,073.00 / $8,454.67	Facility	50	$3,818.00	$6,073.00	$8,454.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,762.50 / $6,900.02 / $11,733.00	Facility		$2,762.50	$6,900.02	$11,733.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,015.87 / $16,727.22 / $19,746.74	Facility		$14,015.87	$16,727.22	$19,746.74
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00