Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.57 / $46.58 / $227.48	Facility	26	$46.57	$46.58	$227.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $189.93 / $285.00	Professional		$116.11	$189.93	$285.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.58 / $65.15 / $103.77	Professional	26	$46.58	$65.15	$103.77
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $89.18 / $89.18 / $173.90	Professional	26	$89.18	$89.18	$173.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $435.00 / $435.00	Professional		$435.00	$435.00	$435.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.25 / $37.25 / $37.25	Facility	26	$37.25	$37.25	$37.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.96 / $253.76 / $601.91	Professional		$126.96	$253.76	$601.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.03 / $76.73 / $140.19	Professional	26	$54.03	$76.73	$140.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $232.65 / $545.98	Professional		$198.15	$232.65	$545.98
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $106.51 / $122.83 / $170.63	Professional	26	$106.51	$122.83	$170.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $183.97 / $592.95	Professional		$122.36	$183.97	$592.95
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.81 / $93.63 / $156.37	Professional	26	$77.81	$93.63	$156.37
United Facility/Professional Professional Modifier Low / Median / High Price $122.19 / $225.20 / $472.24	Professional		$122.19	$225.20	$472.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.73 / $94.71 / $156.05	Professional	26	$51.73	$94.71	$156.05