Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.31 / $74.31 / $363.93	Facility	26	$74.31	$74.31	$363.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.09 / $346.24 / $618.48	Professional		$225.09	$346.24	$618.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.31 / $86.92 / $158.26	Professional	26	$74.31	$86.92	$158.26
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $65.72 / $74.70 / $174.25	Professional	26	$65.72	$74.70	$174.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.23 / $59.23 / $59.23	Facility	26	$59.23	$59.23	$59.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.95 / $478.00 / $859.93	Professional		$246.95	$478.00	$859.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.20 / $105.28 / $179.22	Professional	26	$60.20	$105.28	$179.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $415.38 / $1,164.11	Professional		$312.89	$415.38	$1,164.11
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.64 / $111.43 / $152.79	Professional	26	$95.64	$111.43	$152.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.84 / $263.33 / $418.83	Professional		$223.84	$263.33	$418.83
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $71.37 / $83.96 / $125.92	Professional	26	$71.37	$83.96	$125.92
United Facility/Professional Professional Modifier Low / Median / High Price $267.85 / $415.80 / $662.09	Professional		$267.85	$415.80	$662.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.43 / $93.93 / $167.45	Professional	26	$67.43	$93.93	$167.45