Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $50.00 / $112.50	Professional		$10.00	$50.00	$112.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Professional		$78.00	$78.00	$78.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.88 / $53.88 / $53.88	Facility		$53.88	$53.88	$53.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.50 / $637.50 / $750.00	Professional		$637.50	$637.50	$750.00