Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.79 / $42.80 / $211.80	Facility	26	$42.79	$42.80	$211.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $135.60 / $214.90	Professional		$106.99	$135.60	$214.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $136.94 / $136.94	Professional		$136.94	$136.94	$136.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $157.32 / $157.32	Professional		$157.32	$157.32	$157.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.90 / $34.90 / $34.90	Facility	26	$34.90	$34.90	$34.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $167.45 / $297.18	Professional		$99.57	$167.45	$297.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $181.35 / $249.55	Professional		$149.01	$181.35	$249.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $122.57 / $185.54	Professional		$104.18	$122.57	$185.54
United Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $142.37 / $245.19	Professional		$95.13	$142.37	$245.19