Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.82 / $18.82 / $97.57	Facility	26	$18.82	$18.82	$97.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $83.25 / $130.56	Professional		$67.91	$83.25	$130.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.28 / $15.28 / $15.28	Facility	26	$15.28	$15.28	$15.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $108.68 / $205.47	Professional		$59.50	$108.68	$205.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.62 / $112.88 / $153.76	Professional		$91.62	$112.88	$153.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $89.61 / $140.82	Professional		$76.17	$89.61	$140.82
United Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $92.70 / $170.43	Professional		$52.98	$92.70	$170.43