Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.53 / $12.53 / $63.00	Facility	26	$12.53	$12.53	$63.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $82.95 / $105.24	Professional		$61.05	$82.95	$105.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.81 / $13.91 / $19.96	Professional	26	$11.81	$13.91	$19.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.23	Facility	26	$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $95.55 / $165.15	Professional		$68.12	$95.55	$165.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.68 / $18.61 / $30.93	Professional	26	$10.68	$18.61	$30.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.05 / $133.37 / $196.10	Professional		$95.05	$133.37	$196.10
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.05 / $19.80 / $27.27	Professional	26	$17.05	$19.80	$27.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $89.01 / $127.51	Professional		$74.26	$89.01	$127.51
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.76 / $13.84 / $83.14	Professional	26	$11.76	$13.84	$83.14
United Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $89.86 / $161.09	Professional		$58.73	$89.86	$161.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.16 / $15.91 / $26.83	Professional	26	$11.16	$15.91	$26.83