Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.69 / $38.18 / $68.06	Facility		$33.69	$38.18	$68.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.64 / $35.25 / $47.71	Professional		$28.64	$35.25	$47.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $33.64 / $37.38	Professional		$31.79	$33.64	$37.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $42.89 / $42.89	Professional		$42.89	$42.89	$42.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $39.00 / $62.90	Professional		$27.29	$39.00	$62.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $53.95 / $58.59	Professional		$34.94	$53.95	$58.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.14 / $970.14 / $970.14	Facility		$970.14	$970.14	$970.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $39.49 / $66.18	Professional		$27.83	$39.49	$66.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $39.36 / $76.37	Professional		$29.69	$39.36	$76.37