Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $17.38 / $20.42	Facility		$10.96	$17.38	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $34.67	Professional		$10.00	$14.79	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $21.38	Professional		$12.02	$14.79	$21.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.88 / $29.51	Professional		$10.00	$21.88	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $19.50	Facility		$17.78	$17.78	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.50 / $30.90	Professional		$11.75	$19.50	$30.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $33.11	Professional		$16.22	$21.88	$33.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $29.51	Professional		$14.45	$16.98	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $25.12	Professional		$10.00	$14.79	$25.12