Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $39.35 / $52.47	Facility		$19.67	$39.35	$52.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $39.61 / $54.43	Professional		$20.69	$39.61	$54.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.37 / $39.47 / $41.01	Professional		$22.37	$39.47	$41.01
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $34.70 / $50.74 / $109.85	Professional		$34.70	$50.74	$109.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.93 / $48.00 / $72.90	Professional		$30.93	$48.00	$72.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $62.62 / $75.00	Professional		$53.69	$62.62	$75.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.39 / $313.39 / $313.39	Facility		$313.39	$313.39	$313.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.22 / $47.72 / $79.01	Professional		$33.22	$47.72	$79.01
United Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $49.11 / $92.16	Professional		$35.04	$49.11	$92.16