Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $43.40 / $102.18	Facility		$29.84	$43.40	$102.18
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $77.78 / $99.56 / $385.15	Facility	25	$77.78	$99.56	$385.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $60.85 / $102.49	Professional		$36.90	$60.85	$102.49
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $46.55 / $80.67 / $258.00	Professional	25	$46.55	$80.67	$258.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $78.31 / $106.52	Professional		$50.00	$78.31	$106.52
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $67.66 / $78.31 / $78.31	Professional	25	$67.66	$78.31	$78.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $91.54 / $166.95	Professional		$52.04	$91.54	$166.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $150.00 / $206.24	Facility		$65.34	$150.00	$206.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $78.80 / $133.00	Professional		$45.86	$78.80	$133.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $84.50 / $122.09	Professional		$64.81	$84.50	$122.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $88.09 / $133.27	Professional		$63.65	$88.09	$133.27
United Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $83.41 / $146.53	Professional		$50.99	$83.41	$146.53