Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $81.28 / $223.87	Facility		$57.54	$81.28	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $91.20	Professional		$21.88	$31.62	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $32.36	Professional		$23.44	$28.18	$32.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $38.90	Professional		$26.30	$26.30	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $77.62	Professional		$22.39	$33.88	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $50.12	Professional		$26.30	$35.48	$50.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $63.10	Professional		$19.95	$33.11	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $56.23	Professional		$21.88	$29.51	$56.23