Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.77 / $107.15 / $151.36	Facility	26	$46.77	$107.15	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $141.25 / $288.40	Professional		$87.10	$141.25	$288.40
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 $67.61 / $104.71 / $245.47	Professional		$67.61	$104.71	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $263.03	Professional		$162.18	$190.55	$263.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $234.42	Professional		$109.65	$134.90	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $363.08	Professional		$64.57	$131.83	$363.08