Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $41.69 / $63.10	Professional		$30.20	$41.69	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $53.70	Professional		$42.66	$42.66	$53.70
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $43.65 / $43.65 / $43.65	Professional	25	$43.65	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $45.71	Facility		$40.74	$40.74	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $93.33	Professional		$35.48	$48.98	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $58.88	Professional		$46.77	$46.77	$58.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $100.00	Professional		$51.29	$60.26	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $95.50	Professional		$34.67	$50.12	$95.50