Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
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 $45.71 / $45.71 / $46.77	Professional		$45.71	$45.71	$46.77