Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $162.18 / $363.08	Facility	26	$39.81	$162.18	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $524.81	Professional		$165.96	$223.87	$524.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $60.26 / $128.82	Professional	26	$39.81	$60.26	$128.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $54.95 / $54.95	Professional	26	$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $32.36 / $32.36	Facility	26	$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $457.09	Professional		$151.36	$239.88	$457.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $64.57 / $117.49	Professional	26	$43.65	$64.57	$117.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $407.38	Professional		$251.19	$302.00	$407.38
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $79.43 / $107.15	Professional	26	$67.61	$79.43	$107.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $426.58	Professional		$194.98	$229.09	$426.58
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $60.26 / $102.33	Professional	26	$51.29	$60.26	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $398.11	Professional		$131.83	$223.87	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $60.26 / $102.33	Professional	26	$38.02	$60.26	$102.33