Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.48 / $4,134.00 / $8,419.00	Facility		$244.48	$4,134.00	$8,419.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,711.55 / $8,289.67 / $12,833.32	Facility	50	$6,711.55	$8,289.67	$12,833.32
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,376.10 / $1,376.10 / $1,376.10	Facility		$1,376.10	$1,376.10	$1,376.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,019.14 / $4,796.64 / $9,498.02	Facility		$4,019.14	$4,796.64	$9,498.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00