Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $93.21 / $171.02	Facility		$16.25	$93.21	$171.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $19.57 / $30.96	Professional		$16.25	$19.57	$30.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $27.27	Professional		$27.27	$27.27	$27.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $29.13 / $29.13	Professional		$29.13	$29.13	$29.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.17 / $35.00 / $44.22	Facility		$25.17	$35.00	$44.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $38.72	Professional		$25.55	$25.55	$38.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $40.68 / $57.93	Professional		$40.40	$40.68	$57.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.50 / $29.42 / $29.42	Professional		$28.50	$29.42	$29.42
United Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $23.87 / $44.22	Professional		$19.94	$23.87	$44.22