Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $214.00 / $214.00	Facility		$214.00	$214.00	$214.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $192.46 / $237.41	Facility		$153.97	$192.46	$237.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $387.40 / $387.40 / $392.70	Facility		$387.40	$387.40	$392.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.00 / $239.00 / $239.00	Facility		$239.00	$239.00	$239.00