Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $27.54	Professional		$14.13	$16.98	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $26.30	Facility		$19.95	$19.95	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $33.88	Professional		$16.98	$19.95	$33.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $46.77	Professional		$19.05	$26.92	$46.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $34.67	Professional		$22.39	$22.39	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $16.60 / $38.90	Facility		$2.04	$16.60	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $38.02	Professional		$16.60	$22.91	$38.02