Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.47 / $6,725.00 / $11,235.00	Facility		$413.47	$6,725.00	$11,235.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,786.00 / $7,946.33 / $12,825.00	Facility	50	$5,786.00	$7,946.33	$12,825.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,789.00 / $9,850.12 / $16,433.00	Facility		$5,789.00	$9,850.12	$16,433.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,581.77 / $16,829.91 / $36,495.49	Facility		$13,581.77	$16,829.91	$36,495.49
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