Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,405.75 / $6,396.00 / $11,858.22	Facility		$1,405.75	$6,396.00	$11,858.22
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,500.00 / $6,993.82 / $12,820.50	Facility	50	$4,500.00	$6,993.82	$12,820.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,253.00 / $9,088.00 / $16,449.00	Facility		$5,253.00	$9,088.00	$16,449.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,794.98 / $15,854.99 / $34,381.32	Facility		$12,794.98	$15,854.99	$34,381.32
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