Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $42.66 / $72.44	Facility		$28.18	$42.66	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $75.86	Professional		$28.84	$46.77	$75.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.79 / $74.13 / $91.20	Professional	25	$14.79	$74.13	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $70.79	Professional		$48.98	$60.26	$70.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $48.98 / $58.88 / $75.86	Professional	25	$48.98	$58.88	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $97.72	Professional		$34.67	$54.95	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $478.63	Facility		$204.17	$309.03	$478.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $83.18	Professional		$38.90	$47.86	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $426.58	Facility		$194.98	$354.81	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $72.44	Professional		$28.18	$43.65	$72.44