Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.53 / $4,025.00 / $9,784.00	Facility		$131.53	$4,025.00	$9,784.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,252.90 / $1,252.90 / $1,252.90	Facility		$1,252.90	$1,252.90	$1,252.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,309.56 / $1,622.76 / $1,622.76	Facility		$1,309.56	$1,622.76	$1,622.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $3,961.00 / $10,536.00	Facility		$2,284.00	$3,961.00	$10,536.00