Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $11.54 / $21.49	Facility		$10.11	$11.54	$21.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $12.85 / $22.64	Professional		$10.11	$12.85	$22.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.01 / $50.00 / $54.00	Professional	25	$18.01	$50.00	$54.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $15.37 / $24.59	Professional		$11.12	$15.37	$24.59
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $13.56 / $14.86 / $16.68	Professional	25	$13.56	$14.86	$16.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $20.44 / $37.36	Professional		$15.37	$20.44	$37.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $15.71 / $17.89	Facility		$15.71	$15.71	$17.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $17.16 / $26.88	Professional		$10.74	$17.16	$26.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $21.06 / $27.85	Professional		$16.10	$21.06	$27.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.37 / $72.42 / $72.42	Facility		$60.37	$72.42	$72.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $16.36 / $25.09	Professional		$12.99	$16.36	$25.09
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $15.72 / $29.87	Professional		$9.65	$15.72	$29.87