Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.54 / $4,895.00 / $9,784.00	Facility		$570.54	$4,895.00	$9,784.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,789.50 / $2,789.50 / $2,789.50	Facility		$2,789.50	$2,789.50	$2,789.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,800.66 / $6,958.22 / $13,270.03	Facility		$5,800.66	$6,958.22	$13,270.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00