Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $43.65 / $141.25	Facility		$38.90	$43.65	$141.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $12,302.69 / $25,703.96	Facility		$194.98	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $46.77	Professional		$45.71	$45.71	$46.77