Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,628.44 / $6,016.00 / $10,871.00	Facility		$2,628.44	$6,016.00	$10,871.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $4,078.00 / $7,082.00 / $13,000.00	Facility	22	$4,078.00	$7,082.00	$13,000.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,253.00 / $9,112.00 / $16,449.00	Facility		$5,253.00	$9,112.00	$16,449.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,999.74 / $14,184.51 / $28,807.94	Facility		$12,999.74	$14,184.51	$28,807.94
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