Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.65 / $6,325.00 / $12,933.00	Facility		$696.65	$6,325.00	$12,933.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,461.00 / $14,393.47 / $21,428.58	Facility	50	$5,461.00	$14,393.47	$21,428.58
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10,844.60 / $10,844.60 / $10,844.60	Facility		$10,844.60	$10,844.60	$10,844.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,446.90 / $13,661.29 / $28,807.94	Facility		$11,446.90	$13,661.29	$28,807.94
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