Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $18.60 / $43.99	Facility		$18.60	$18.60	$43.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $32.61 / $49.60	Professional		$17.01	$32.61	$49.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $64.00 / $64.00 / $128.00	Professional	25	$64.00	$64.00	$128.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $49.42 / $79.06	Professional		$44.11	$49.42	$79.06
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $60.00 / $109.18	Professional		$48.42	$60.00	$109.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.21 / $24.21 / $30.48	Facility		$24.21	$24.21	$30.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $39.88	Professional		$39.88	$39.88	$39.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $64.73 / $90.27	Professional		$52.06	$64.73	$90.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.51 / $59.55 / $8,702.00	Facility		$33.51	$59.55	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $46.91 / $48.77	Professional		$39.86	$46.91	$48.77
United Facility/Professional Professional Modifier Low / Median / High Price $32.09 / $48.43 / $88.37	Professional		$32.09	$48.43	$88.37