Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,612.00 / $6,018.63 / $10,698.00	Facility		$2,612.00	$6,018.63	$10,698.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,791.41 / $6,999.44 / $16,016.75	Facility	50	$4,791.41	$6,999.44	$16,016.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,464.02 / $5,753.01 / $7,195.42	Facility		$2,464.02	$5,753.01	$7,195.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,794.98 / $13,217.38 / $34,381.32	Facility		$12,794.98	$13,217.38	$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