Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $29.24 / $29.24	Facility		$28.24	$29.24	$29.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $29.48 / $41.53	Professional		$24.98	$29.48	$41.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $126.17 / $126.17 / $126.17	Professional	25	$126.17	$126.17	$126.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $32.14 / $42.85	Professional		$29.35	$32.14	$42.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $80.59 / $80.59 / $80.59	Professional		$80.59	$80.59	$80.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.14 / $41.14 / $41.14	Facility		$41.14	$41.14	$41.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $28.57 / $28.57	Professional		$28.57	$28.57	$28.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.59 / $44.64 / $61.45	Professional		$36.59	$44.64	$61.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $27.97 / $32.90	Professional		$22.13	$27.97	$32.90
United Facility/Professional Professional Modifier Low / Median / High Price $24.32 / $35.92 / $64.59	Professional		$24.32	$35.92	$64.59