Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.85 / $47.85 / $224.47	Facility	26	$47.85	$47.85	$224.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $152.54 / $243.91	Professional		$100.64	$152.54	$243.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.00 / $38.00 / $38.00	Facility	26	$38.00	$38.00	$38.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $219.76 / $602.71	Professional		$93.83	$219.76	$602.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $165.30 / $546.88	Professional		$140.44	$165.30	$546.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $126.22 / $219.97	Professional		$87.47	$126.22	$219.97
United Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $172.19 / $472.89	Professional		$97.71	$172.19	$472.89