Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $27.19 / $27.19	Facility		$25.34	$27.19	$27.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $26.54 / $33.84	Professional		$18.76	$26.54	$33.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $30.49 / $37.07	Professional		$28.50	$30.49	$37.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.40 / $31.04 / $52.00	Professional		$30.40	$31.04	$52.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $33.67	Facility		$33.67	$33.67	$33.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $24.70	Professional		$24.70	$24.70	$24.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $38.65 / $53.01	Professional		$31.58	$38.65	$53.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $224.89 / $224.89 / $224.89	Facility		$224.89	$224.89	$224.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $31.66 / $32.49	Professional		$26.91	$31.66	$32.49
United Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $31.58 / $57.69	Professional		$21.83	$31.58	$57.69