Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $26.30 / $70.79	Professional		$10.00	$26.30	$70.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $141.25 / $141.25 / $141.25	Professional	25	$141.25	$141.25	$141.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $26.30	Professional		$16.60	$19.95	$26.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $154.88	Professional		$20.89	$20.89	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $15.85 / $36.31	Professional		$5.89	$15.85	$36.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.78 / $28.18	Professional		$13.80	$17.78	$28.18