Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.41 / $15.41 / $75.95	Facility	26	$15.41	$15.41	$75.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.39 / $82.63 / $153.46	Professional		$64.39	$82.63	$153.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $86.08 / $86.08	Professional		$86.08	$86.08	$86.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $187.86 / $187.86	Professional		$114.98	$187.86	$187.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.69 / $12.69 / $12.69	Facility	26	$12.69	$12.69	$12.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $102.64 / $176.53	Professional		$68.54	$102.64	$176.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $122.81 / $171.96	Professional		$91.96	$122.81	$171.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $90.48 / $126.01	Professional		$75.56	$90.48	$126.01
United Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $91.87 / $162.61	Professional		$60.61	$91.87	$162.61