Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $31.97 / $53.37	Facility		$20.98	$31.97	$53.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $31.96 / $54.04	Professional		$20.23	$31.96	$54.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $37.90 / $39.40	Professional		$35.39	$37.90	$39.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $43.72 / $73.20	Professional		$31.49	$43.72	$73.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $38.70 / $46.76	Facility		$31.39	$38.70	$46.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $40.35 / $68.05	Professional		$23.30	$40.35	$68.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $57.24 / $104.18	Professional		$43.23	$57.24	$104.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $43.61 / $67.05	Professional		$34.60	$43.61	$67.05
United Facility/Professional Professional Modifier Low / Median / High Price $29.68 / $40.60 / $76.45	Professional		$29.68	$40.60	$76.45