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 / $13.45 / $22.24	Professional		$7.71	$13.45	$22.24
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $3.71 / $5.51 / $9.74	Professional	52	$3.71	$5.51	$9.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $17.92 / $20.39	Professional		$14.30	$17.92	$20.39
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $25.56 / $46.30	Professional		$18.57	$25.56	$46.30
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 $65.54 / $72.42 / $72.42	Facility		$65.54	$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 $14.06 / $19.55 / $39.63	Professional		$14.06	$19.55	$39.63