Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $26.75 / $122.00	Facility		$20.07	$26.75	$122.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.93 / $29.17 / $56.21	Professional		$18.93	$29.17	$56.21
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $55.00 / $55.00 / $55.00	Professional	25	$55.00	$55.00	$55.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $21.31 / $25.46	Professional		$17.28	$21.31	$25.46
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $32.14	Facility		$32.14	$32.14	$32.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $33.86 / $311.95	Professional		$29.44	$33.86	$311.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.03 / $29.03 / $32.20	Facility		$29.03	$29.03	$32.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $31.39 / $61.84	Professional		$20.00	$31.39	$61.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $41.95 / $42.50	Professional		$40.00	$41.95	$42.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.48 / $187.47 / $224.89	Facility		$181.48	$187.47	$224.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $32.96 / $45.00	Professional		$21.85	$32.96	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $40.00 / $50.35	Professional		$21.58	$40.00	$50.35