Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.62 / $131.83 / $208.93	Facility	26	$77.62	$131.83	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $263.03	Professional		$87.10	$117.49	$263.03
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.78 / $17.78 / $17.78	Facility	26	$17.78	$17.78	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $263.03	Professional		$93.33	$147.91	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $257.04	Professional		$158.49	$190.55	$257.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $229.09	Professional		$112.20	$131.83	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $223.87	Professional		$89.13	$128.82	$223.87