Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.20 / $119.21 / $518.49	Facility	26	$119.20	$119.21	$518.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.88 / $425.00 / $638.00	Professional		$279.88	$425.00	$638.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.50 / $119.21 / $156.71	Professional	26	$82.50	$119.21	$156.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.73 / $164.73 / $164.73	Professional		$164.73	$164.73	$164.73
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $62.42 / $64.91 / $173.49	Professional	26	$62.42	$64.91	$173.49
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 $235.13 / $539.87 / $972.22	Professional		$235.13	$539.87	$972.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.16 / $108.26 / $182.31	Professional	26	$60.16	$108.26	$182.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.07 / $428.60 / $1,426.39	Professional		$323.07	$428.60	$1,426.39
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $94.63 / $110.71 / $150.96	Professional	26	$94.63	$110.71	$150.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.08 / $307.14 / $590.49	Professional		$261.08	$307.14	$590.49
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.15 / $83.70 / $133.13	Professional	26	$71.15	$83.70	$133.13
United Facility/Professional Professional Modifier Low / Median / High Price $261.36 / $424.74 / $745.92	Professional		$261.36	$424.74	$745.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.53 / $98.52 / $168.45	Professional	26	$67.53	$98.52	$168.45