Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $278.60 / $278.60 / $278.60	Facility		$278.60	$278.60	$278.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $816.35 / $820.67 / $1,612.95	Facility		$816.35	$820.67	$1,612.95