Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.27 / $51.27 / $257.97	Facility	26	$51.27	$51.27	$257.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $282.04 / $435.76	Professional		$187.10	$282.04	$435.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.27 / $60.63 / $87.75	Professional	26	$51.27	$60.63	$87.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.25 / $45.82 / $123.31	Professional	26	$44.25	$45.82	$123.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.83 / $41.83 / $41.83	Facility	26	$41.83	$41.83	$41.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.76 / $405.46 / $666.29	Professional		$189.76	$405.46	$666.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.17 / $75.06 / $126.68	Professional	26	$43.17	$75.06	$126.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $233.08 / $309.27 / $989.28	Professional		$233.08	$309.27	$989.28
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.14 / $78.45 / $940.75	Professional	26	$67.14	$78.45	$940.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.78 / $225.84 / $424.58	Professional		$174.78	$225.84	$424.58
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.63 / $59.56 / $94.73	Professional	26	$50.63	$59.56	$94.73
United Facility/Professional Professional Modifier Low / Median / High Price $190.47 / $312.30 / $525.61	Professional		$190.47	$312.30	$525.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.46 / $71.45 / $118.27	Professional	26	$47.46	$71.45	$118.27