Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $23.35 / $34.61	Professional		$17.04	$23.35	$34.61
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $7.32 / $11.42 / $15.39	Professional	52	$7.32	$11.42	$15.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $27.31 / $36.47	Professional		$27.31	$27.31	$36.47
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $37.77 / $82.88	Professional		$27.53	$37.77	$82.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $24.16 / $53.82	Professional		$13.58	$24.16	$53.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $30.98 / $40.50	Professional		$23.92	$30.98	$40.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.90 / $252.90 / $252.90	Facility		$252.90	$252.90	$252.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $28.63 / $40.29	Professional		$22.75	$28.63	$40.29
United Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $22.52 / $46.62	Professional		$14.96	$22.52	$46.62