Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.28 / $49.29 / $247.93	Facility	26	$49.28	$49.29	$247.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $300.00 / $480.83	Professional		$213.49	$300.00	$480.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.29 / $58.30 / $89.04	Professional	26	$49.29	$58.30	$89.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $196.43 / $196.43 / $196.43	Professional		$196.43	$196.43	$196.43
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $43.93 / $46.88 / $118.60	Professional	26	$43.93	$46.88	$118.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.17 / $40.17 / $40.17	Facility	26	$40.17	$40.17	$40.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $383.92 / $696.02	Professional		$208.58	$383.92	$696.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.00 / $70.91 / $120.96	Professional	26	$41.00	$70.91	$120.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $374.20 / $937.64	Professional		$281.58	$374.20	$937.64
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.97 / $74.95 / $806.84	Professional	26	$63.97	$74.95	$806.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.12 / $236.61 / $478.82	Professional		$201.12	$236.61	$478.82
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $57.24 / $85.84	Professional	26	$48.65	$57.24	$85.84
United Facility/Professional Professional Modifier Low / Median / High Price $222.58 / $338.66 / $536.22	Professional		$222.58	$338.66	$536.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.32 / $68.48 / $114.36	Professional	26	$45.32	$68.48	$114.36