Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,625.01 / $6,180.00 / $12,933.00	Facility		$1,625.01	$6,180.00	$12,933.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $9,650.00 / $9,650.00 / $9,650.00	Facility	22	$9,650.00	$9,650.00	$9,650.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $332.28 / $444.85 / $4,517.50	Facility	52	$332.28	$444.85	$4,517.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,912.27 / $8,846.82 / $20,022.46	Facility		$3,912.27	$8,846.82	$20,022.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,824.80 / $14,184.51 / $27,051.28	Facility		$11,824.80	$14,184.51	$27,051.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,258.00	Facility		$5,682.00	$10,536.00	$23,258.00