Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $12,589.25 / $26,302.68	Facility		$194.98	$12,589.25	$26,302.68
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81