Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.66 / $21.66 / $118.02	Facility	26	$21.66	$21.66	$118.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.55 / $110.60 / $149.72	Professional		$83.55	$110.60	$149.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.96 / $17.96 / $17.96	Facility	26	$17.96	$17.96	$17.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.40 / $145.06 / $241.15	Professional		$93.40	$145.06	$241.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $167.85 / $236.51	Professional		$123.10	$167.85	$236.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $126.24 / $171.29	Professional		$107.30	$126.24	$171.29
United Facility/Professional Professional Modifier Low / Median / High Price $88.24 / $130.28 / $230.90	Professional		$88.24	$130.28	$230.90