Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
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 $26.63 / $26.63 / $26.63	Professional		$26.63	$26.63	$26.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.94 / $49.83 / $66.56	Professional		$39.94	$49.83	$66.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $29.54 / $29.54	Professional		$25.50	$29.54	$29.54
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $22.16 / $36.93	Professional		$19.94	$22.16	$36.93