Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,162.00 / $7,888.01 / $14,607.17	Facility		$4,162.00	$7,888.01	$14,607.17
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,597.00 / $11,155.00 / $15,880.00	Facility	22	$5,597.00	$11,155.00	$15,880.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6,303.60 / $10,711.00 / $16,905.00	Facility		$6,303.60	$10,711.00	$16,905.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,426.63 / $23,197.59 / $54,888.28	Facility		$20,426.63	$23,197.59	$54,888.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00