Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $416.87 / $758.58	Facility	26	$181.97	$416.87	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $426.58 / $1,000.00	Professional		$281.84	$426.58	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $125.89 / $398.11	Professional	26	$83.18	$125.89	$398.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $63.10 / $63.10	Facility	26	$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $891.25	Professional		$239.88	$524.81	$891.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $112.20 / $190.55	Professional	26	$61.66	$112.20	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $524.81	Professional		$323.59	$389.05	$524.81
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $112.20 / $151.36	Professional	26	$95.50	$112.20	$151.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $630.96	Professional		$275.42	$323.59	$630.96
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $85.11 / $151.36	Professional	26	$72.44	$85.11	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $776.25	Professional		$239.88	$426.58	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $177.83	Professional	26	$67.61	$95.50	$177.83