Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.59 / $51.59 / $257.97	Facility	26	$51.59	$51.59	$257.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.87 / $282.30 / $484.37	Professional		$188.87	$282.30	$484.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.59 / $60.63 / $85.21	Professional	26	$51.59	$60.63	$85.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $105.68 / $211.36	Professional		$105.68	$105.68	$211.36
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $46.08 / $46.08 / $56.95	Professional	26	$46.08	$46.08	$56.95
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 $190.05 / $404.40 / $670.77	Professional		$190.05	$404.40	$670.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.79 / $75.06 / $127.38	Professional	26	$42.79	$75.06	$127.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.84 / $312.95 / $986.61	Professional		$235.84	$312.95	$986.61
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.53 / $78.94 / $107.76	Professional	26	$67.53	$78.94	$107.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $226.20 / $453.17	Professional		$192.27	$226.20	$453.17
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 $178.94 / $306.83 / $512.55	Professional		$178.94	$306.83	$512.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $71.28 / $118.27	Professional	26	$48.57	$71.28	$118.27