Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $208.93 / $331.13	Facility	26	$117.49	$208.93	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $234.42	Professional		$77.62	$117.49	$234.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $29.51 / $29.51	Facility	26	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $295.12	Professional		$89.13	$162.18	$295.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $213.80	Professional		$134.90	$158.49	$213.80
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $275.42	Professional		$95.50	$112.20	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $257.04	Professional		$83.18	$138.04	$257.04