Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,795.00 / $5,908.43 / $10,698.00	Facility		$2,795.00	$5,908.43	$10,698.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $6,500.00 / $8,326.15 / $8,605.00	Facility	22	$6,500.00	$8,326.15	$8,605.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,433.94 / $7,514.00 / $14,769.00	Facility	50	$5,433.94	$7,514.00	$14,769.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,865.34 / $6,479.39 / $11,733.00	Facility		$2,865.34	$6,479.39	$11,733.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,446.90 / $11,446.90 / $25,174.94	Facility		$11,446.90	$11,446.90	$25,174.94
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