Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $27.75 / $50.09	Facility		$24.49	$27.75	$50.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $52.93 / $92.33	Professional		$27.75	$52.93	$92.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.67 / $72.39 / $153.47	Professional	25	$50.67	$72.39	$153.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $61.39 / $89.95	Professional		$50.07	$61.39	$89.95
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $46.11 / $46.11 / $46.11	Professional	25	$46.11	$46.11	$46.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $70.09 / $125.18	Professional		$37.46	$70.09	$125.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $52.87 / $88.72	Professional		$33.39	$52.87	$88.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.73 / $73.31	Professional		$30.00	$48.73	$73.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $45.60 / $67.36	Professional		$32.57	$45.60	$67.36
United Facility/Professional Professional Modifier Low / Median / High Price $29.53 / $42.48 / $76.06	Professional		$29.53	$42.48	$76.06