Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $63.10 / $389.05	Professional		$28.18	$63.10	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $35.48	Professional		$21.88	$26.30	$35.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $72.44	Professional		$33.11	$34.67	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $75.86	Professional		$29.51	$43.65	$75.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $58.88	Professional		$30.20	$39.81	$58.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $69.18	Professional		$30.20	$40.74	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $54.95	Professional		$23.99	$33.88	$54.95