Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.72 / $8.72 / $17.19	Facility		$8.72	$8.72	$17.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $12.36 / $21.08	Professional		$7.71	$12.36	$21.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $19.42 / $19.42	Professional		$16.32	$19.42	$19.42
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $17.92 / $17.92 / $17.92	Professional	25	$17.92	$17.92	$17.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $25.56 / $48.55	Professional		$17.04	$25.56	$48.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.08 / $12.08 / $12.08	Facility		$12.08	$12.08	$12.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $25.44 / $34.63	Professional		$20.53	$25.44	$34.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.42 / $72.42 / $72.42	Facility		$72.42	$72.42	$72.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $17.09 / $17.73	Professional		$14.53	$17.09	$17.73
United Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $19.80 / $36.36	Professional		$13.41	$19.80	$36.36