Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.63 / $5,166.00 / $10,692.00	Facility		$573.63	$5,166.00	$10,692.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,724.10 / $4,724.10 / $4,724.10	Facility		$4,724.10	$4,724.10	$4,724.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,296.41 / $6,958.22 / $14,131.76	Facility		$6,296.41	$6,958.22	$14,131.76
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00