Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.33 / $44.16 / $68.40	Facility		$43.33	$44.16	$68.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.99 / $39.86 / $56.73	Professional		$33.99	$39.86	$56.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $49.45 / $49.45	Professional		$49.45	$49.45	$49.45
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Professional		$42.84	$42.84	$42.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $54.64 / $93.55	Professional		$29.65	$54.64	$93.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.08 / $55.39 / $72.34	Professional		$43.08	$55.39	$72.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.15 / $87.32 / $103.07	Facility		$73.15	$87.32	$103.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $42.23 / $69.33	Professional		$33.35	$42.23	$69.33
United Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $45.01 / $86.98	Professional		$29.32	$45.01	$86.98