Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $190.55 / $302.00	Facility	26	$112.20	$190.55	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $213.80	Professional		$70.79	$102.33	$213.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $38.90 / $83.18	Professional	26	$32.36	$38.90	$83.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	26	$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $213.80	Professional		$79.43	$128.82	$213.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $51.29 / $87.10	Professional	26	$30.90	$51.29	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $213.80	Professional		$131.83	$158.49	$213.80
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $56.23 / $75.86	Professional	26	$47.86	$56.23	$75.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $194.98	Professional		$89.13	$109.65	$194.98
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $40.74 / $89.13	Professional	26	$34.67	$40.74	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $190.55	Professional		$77.62	$114.82	$190.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $43.65 / $75.86	Professional	26	$29.51	$43.65	$75.86