Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,172.89 / $6,325.00 / $13,092.00	Facility		$1,172.89	$6,325.00	$13,092.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16,096.50 / $16,096.50 / $16,096.50	Facility		$16,096.50	$16,096.50	$16,096.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,989.59 / $13,851.67 / $27,428.23	Facility		$11,989.59	$13,851.67	$27,428.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,045.00 / $9,969.00 / $19,690.00	Facility		$5,045.00	$9,969.00	$19,690.00