Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $61.66 / $112.20	Facility	26	$15.49	$61.66	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $257.04	Professional		$66.07	$100.00	$257.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $186.21	Professional		$114.82	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $12.59 / $12.59	Facility	26	$12.59	$12.59	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $194.98	Professional		$69.18	$104.71	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $173.78	Professional		$107.15	$128.82	$173.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $173.78	Professional		$79.43	$93.33	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $158.49	Professional		$60.26	$91.20	$158.49