Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.20 / $119.21 / $518.49	Facility	26	$119.20	$119.21	$518.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.95 / $402.08 / $475.00	Professional		$47.95	$402.08	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.88 / $111.15 / $140.00	Professional	26	$11.88	$111.15	$140.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.88 / $26.88	Professional		$26.88	$26.88	$26.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $88.62 / $140.16	Professional		$39.65	$88.62	$140.16
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.41 / $14.74 / $24.67	Professional	26	$8.41	$14.74	$24.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.04 / $70.31 / $196.56	Professional		$53.04	$70.31	$196.56
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $15.44 / $20.99	Professional	26	$13.17	$15.44	$20.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $51.75 / $109.77	Professional		$43.99	$51.75	$109.77
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $11.58 / $18.00	Professional	26	$9.84	$11.58	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $72.67 / $117.43	Professional		$40.54	$72.67	$117.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $13.08 / $23.02	Professional	26	$8.65	$13.08	$23.02