Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $72.44 / $218.78	Facility		$51.29	$72.44	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $89.13	Professional		$21.38	$30.20	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.44 / $28.84	Professional		$17.38	$23.44	$28.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $75.86	Professional		$23.44	$33.88	$75.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.88 / $47.86	Professional		$25.70	$33.88	$47.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $58.88	Professional		$19.05	$26.92	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $54.95	Professional		$20.89	$28.84	$54.95