Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.36 / $37.29 / $54.75	Facility		$28.36	$37.29	$54.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $32.19 / $54.73	Professional		$24.62	$32.19	$54.73
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $39.35 / $42.80	Professional		$37.45	$39.35	$42.80
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $37.45 / $37.45 / $37.45	Professional	25	$37.45	$37.45	$37.45
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $23.36 / $23.36 / $68.87	Professional		$23.36	$23.36	$68.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.92 / $39.92 / $39.92	Facility		$39.92	$39.92	$39.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $47.75 / $76.34	Professional		$29.23	$47.75	$76.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $58.64 / $76.90	Professional		$45.70	$58.64	$76.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $49.95 / $75.64	Professional		$39.63	$49.95	$75.64
United Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $45.65 / $80.80	Professional		$30.38	$45.65	$80.80