Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $77.62 / $181.97	Facility	26	$18.62	$77.62	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $245.47	Professional		$85.11	$125.89	$245.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $39.81 / $91.20	Professional	26	$22.91	$39.81	$91.20
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $35.48 / $54.95	Professional	26	$28.84	$35.48	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.14	Facility	26	$15.14	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $229.09	Professional		$85.11	$120.23	$229.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $32.36 / $66.07	Professional	26	$22.39	$32.36	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $229.09	Professional		$141.25	$169.82	$229.09
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $51.29 / $69.18	Professional	26	$43.65	$51.29	$69.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $239.88	Professional		$104.71	$123.03	$239.88
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $38.90 / $66.07	Professional	26	$33.11	$38.90	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $213.80	Professional		$74.13	$120.23	$213.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $36.31 / $64.57	Professional	26	$20.89	$36.31	$64.57