Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.36 / $4,134.00 / $8,419.00	Facility		$105.36	$4,134.00	$8,419.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,369.25 / $5,968.50 / $9,496.70	Facility	50	$5,369.25	$5,968.50	$9,496.70
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,115.80 / $3,115.80 / $3,115.80	Facility		$3,115.80	$3,115.80	$3,115.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.14 / $4,151.83 / $5,662.50	Facility		$4,019.14	$4,151.83	$5,662.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $5,523.00 / $9,152.00	Facility		$3,885.00	$5,523.00	$9,152.00