Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.20 / $60.26 / $125.89	Facility	26	$18.20	$60.26	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $91.20 / $275.42	Professional		$50.12	$91.20	$275.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.22 / $30.90 / $79.43	Professional	26	$16.22	$30.90	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $56.23	Professional		$46.77	$46.77	$56.23
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $23.99 / $32.36	Professional	26	$18.20	$23.99	$32.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $165.96	Professional		$41.69	$41.69	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $218.78	Professional		$64.57	$128.82	$218.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $24.55 / $45.71	Professional	26	$16.60	$24.55	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $158.49	Professional		$97.72	$114.82	$158.49
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $33.88 / $45.71	Professional	26	$28.84	$33.88	$45.71
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $251.19	Professional		$64.57	$75.86	$251.19
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $24.55 / $61.66	Professional	26	$20.89	$24.55	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $208.93	Professional		$60.26	$95.50	$208.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.14 / $24.55 / $42.66	Professional	26	$15.14	$24.55	$42.66