Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.35 / $61.35 / $126.40	Facility	26	$61.35	$61.35	$126.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.56 / $234.56 / $396.10	Professional		$185.56	$234.56	$396.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $260.54 / $260.54 / $260.54	Professional		$260.54	$260.54	$260.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $347.86 / $616.32	Professional		$217.80	$347.86	$616.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $287.50 / $385.32	Professional		$15.00	$287.50	$385.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.44 / $204.55 / $364.21	Professional		$137.44	$204.55	$364.21
United Facility/Professional Professional Modifier Low / Median / High Price $156.57 / $217.80 / $502.48	Professional		$156.57	$217.80	$502.48