Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $63.92 / $105.87	Professional		$39.76	$63.92	$105.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $77.09 / $92.65 / $103.43	Professional	25	$77.09	$92.65	$103.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.33 / $92.51 / $96.73	Professional		$81.33	$92.51	$96.73
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $109.24 / $196.00	Professional		$78.03	$109.24	$196.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $70.00 / $172.84	Professional		$37.24	$70.00	$172.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $78.76 / $132.52	Professional		$50.00	$78.76	$132.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $76.40 / $129.87	Professional		$64.84	$76.40	$129.87
United Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $58.90 / $134.33	Professional		$42.51	$58.90	$134.33