Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $100.00	Facility		$64.57	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $190.55	Professional		$56.23	$72.44	$190.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $117.49 / $208.93	Professional	25	$64.57	$117.49	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $107.15	Professional		$54.95	$57.54	$107.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Professional		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $109.65	Facility		$87.10	$87.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $162.18	Professional		$54.95	$93.33	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $173.78	Professional		$89.13	$109.65	$173.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $141.25	Professional		$69.18	$81.28	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $128.82	Professional		$53.70	$75.86	$128.82