Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.11 / $7.11 / $38.85	Facility	26	$7.11	$7.11	$38.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $31.19 / $44.04	Professional		$23.77	$31.19	$44.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $8.43 / $12.68	Professional	26	$6.90	$8.43	$12.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $22.26 / $22.26	Professional		$22.26	$22.26	$22.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $8.26 / $8.26	Professional	26	$8.26	$8.26	$8.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.99 / $5.99 / $5.99	Facility	26	$5.99	$5.99	$5.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $40.22 / $66.56	Professional		$26.20	$40.22	$66.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $11.03 / $18.35	Professional	26	$6.35	$11.03	$18.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $47.24 / $65.42	Professional		$35.99	$47.24	$65.42
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $11.48 / $15.74	Professional	26	$9.85	$11.48	$15.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $33.36 / $46.13	Professional		$28.62	$33.36	$46.13
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $8.82 / $27.81	Professional	26	$7.31	$8.82	$27.81
United Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $33.25 / $59.30	Professional		$22.67	$33.25	$59.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $9.47 / $15.95	Professional	26	$6.34	$9.47	$15.95