Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $19.69 / $19.69 / $100.37	Facility	26	$19.69	$19.69	$100.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $116.37 / $153.41	Professional		$85.78	$116.37	$153.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.02 / $22.04 / $32.04	Professional	26	$18.02	$22.04	$32.04
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $20.04 / $20.04 / $21.65	Professional	26	$20.04	$20.04	$21.65
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.99 / $15.99 / $15.99	Facility	26	$15.99	$15.99	$15.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $132.28 / $229.38	Professional		$92.85	$132.28	$229.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.79 / $28.97 / $48.40	Professional	26	$16.79	$28.97	$48.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.27 / $171.73 / $252.25	Professional		$130.27	$171.73	$252.25
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.58 / $29.98 / $40.77	Professional	26	$25.58	$29.98	$40.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $126.21 / $179.30	Professional		$107.28	$126.21	$179.30
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.41 / $23.40 / $111.51	Professional	26	$19.41	$23.40	$111.51
United Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $130.77 / $237.59	Professional		$84.50	$130.77	$237.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $26.26 / $43.47	Professional	26	$16.60	$26.26	$43.47