Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.72 / $5,695.00 / $10,516.60	Facility		$895.72	$5,695.00	$10,516.60
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,053.30 / $5,597.00 / $9,616.74	Facility	50	$4,053.30	$5,597.00	$9,616.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9,135.79 / $9,135.79 / $9,135.79	Facility		$9,135.79	$9,135.79	$9,135.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,309.76 / $9,309.76 / $9,309.76	Facility		$9,309.76	$9,309.76	$9,309.76
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00