Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.85 / $28.15 / $45.74	Facility		$26.85	$28.15	$45.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $25.24 / $40.19	Professional		$21.48	$25.24	$40.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $20.97 / $28.84	Professional		$16.45	$20.97	$28.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $26.49 / $26.49	Professional		$26.49	$26.49	$26.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $34.47 / $60.17	Professional		$19.98	$34.47	$60.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $36.56 / $110.00	Professional		$27.92	$36.56	$110.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $29.41 / $45.99	Professional		$20.19	$29.41	$45.99
United Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $28.21 / $51.26	Professional		$18.04	$28.21	$51.26