Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,463.27 / $6,986.00 / $19,947.23	Facility		$1,463.27	$6,986.00	$19,947.23
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,480.75 / $12,518.49 / $20,136.68	Facility	50	$4,480.75	$12,518.49	$20,136.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,037.50 / $8,800.00 / $16,905.00	Facility		$4,037.50	$8,800.00	$16,905.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $40,738.68 / $48,092.58 / $91,724.63	Facility		$40,738.68	$48,092.58	$91,724.63
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00