Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $32.36 / $109.65 / $177.83	Facility	26	$32.36	$109.65	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $275.42	Professional		$89.13	$123.03	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $22.39 / $50.12	Professional	26	$18.20	$22.39	$50.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $21.88 / $21.88	Professional	26	$19.95	$21.88	$21.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.85 / $15.85 / $15.85	Facility	26	$15.85	$15.85	$15.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $245.47	Professional		$93.33	$134.90	$245.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $29.51 / $48.98	Professional	26	$17.38	$29.51	$48.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $257.04	Professional		$158.49	$190.55	$257.04
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $30.90 / $42.66	Professional	26	$26.30	$30.90	$42.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $257.04	Professional		$112.20	$131.83	$257.04
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.44 / $51.29	Professional	26	$19.95	$23.44	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $229.09	Professional		$83.18	$128.82	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $25.12 / $43.65	Professional	26	$16.60	$25.12	$43.65