Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.96 / $39.96 / $200.65	Facility	26	$39.96	$39.96	$200.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.46 / $199.67 / $310.45	Professional		$164.46	$199.67	$310.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.38 / $50.72 / $77.84	Professional	26	$38.38	$50.72	$77.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $45.83 / $56.32 / $85.67	Professional	26	$45.83	$56.32	$85.67
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.21 / $32.21 / $32.21	Facility	26	$32.21	$32.21	$32.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $239.36 / $426.35	Professional		$150.19	$239.36	$426.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.33 / $63.59 / $108.25	Professional	26	$42.33	$63.59	$108.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $243.02 / $291.11 / $407.06	Professional		$243.02	$291.11	$407.06
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.77 / $78.04 / $106.56	Professional	26	$66.77	$78.04	$106.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $217.34 / $318.35	Professional		$184.74	$217.34	$318.35
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $50.05 / $58.88 / $103.89	Professional	26	$50.05	$58.88	$103.89
United Facility/Professional Professional Modifier Low / Median / High Price $134.32 / $225.20 / $396.95	Professional		$134.32	$225.20	$396.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.36 / $64.48 / $105.53	Professional	26	$38.36	$64.48	$105.53