Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,918.30 / $5,845.00 / $9,950.00	Facility		$1,918.30	$5,845.00	$9,950.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,421.24 / $7,636.00 / $13,708.26	Facility	50	$5,421.24	$7,636.00	$13,708.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $538.11 / $1,770.00 / $2,744.55	Professional	50	$538.11	$1,770.00	$2,744.55
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $521.85 / $531.09 / $821.95	Professional	50	$521.85	$531.09	$821.95
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $474.12 / $474.12 / $474.12	Professional	50	$474.12	$474.12	$474.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,956.02 / $12,657.58 / $13,142.33	Facility		$10,956.02	$12,657.58	$13,142.33
United Facility/Professional Facility Modifier Low / Median / High Price $4,881.00 / $10,536.00 / $23,291.00	Facility		$4,881.00	$10,536.00	$23,291.00