Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $70.00	Professional		$70.00	$70.00	$70.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $60.00 / $225.00	Facility		$45.00	$60.00	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $55.00 / $68.75	Professional		$41.91	$55.00	$68.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $75.00	Professional		$35.00	$50.00	$75.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.60 / $45.00 / $45.41	Professional		$38.60	$45.00	$45.41