Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.20 / $46.20 / $224.39	Facility	26	$46.20	$46.20	$224.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $149.88 / $233.08	Professional		$94.64	$149.88	$233.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.68 / $117.68 / $117.68	Professional		$117.68	$117.68	$117.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $91.84 / $91.84	Professional		$91.84	$91.84	$91.84
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.88 / $37.88 / $37.88	Facility	26	$37.88	$37.88	$37.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $214.89 / $602.57	Professional		$88.56	$214.89	$602.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $133.08 / $156.19 / $538.05	Professional		$133.08	$156.19	$538.05
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.44 / $126.46 / $238.65	Professional		$86.44	$126.46	$238.65
United Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $179.37 / $477.77	Professional		$87.46	$179.37	$477.77