Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.69 / $70.79 / $117.49	Facility	26	$41.69	$70.79	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $199.53	Professional		$61.66	$89.13	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $14.13 / $43.65	Professional	26	$10.96	$14.13	$43.65
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 $67.61 / $95.50 / $181.97	Professional		$67.61	$95.50	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $18.62 / $32.36	Professional	26	$11.22	$18.62	$32.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $144.54 / $194.98	Professional		$120.23	$144.54	$194.98
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $20.89 / $28.84	Professional	26	$18.20	$20.89	$28.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $181.97	Professional		$77.62	$91.20	$181.97
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $32.36	Professional	26	$12.02	$14.13	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $162.18	Professional		$58.88	$89.13	$162.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $15.85 / $26.92	Professional	26	$10.96	$15.85	$26.92