Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.85 / $14.86 / $73.00	Facility	26	$14.85	$14.86	$73.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $154.52 / $277.69	Professional		$87.72	$154.52	$277.69
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.98 / $11.98 / $11.98	Facility	26	$11.98	$11.98	$11.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $104.56 / $202.45	Professional		$66.84	$104.56	$202.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $172.99 / $254.03	Professional		$79.34	$172.99	$254.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $128.28 / $226.34	Professional		$104.79	$128.28	$226.34
United Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $132.09 / $323.83	Professional		$61.23	$132.09	$323.83