Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.99 / $44.99 / $221.43	Facility	26	$44.99	$44.99	$221.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $151.54 / $225.55	Professional		$99.55	$151.54	$225.55
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.57 / $37.57 / $37.57	Facility	26	$37.57	$37.57	$37.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.21 / $218.88 / $601.51	Professional		$92.21	$218.88	$601.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.90 / $161.04 / $537.83	Professional		$136.90	$161.04	$537.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.70 / $126.70 / $220.80	Professional		$107.70	$126.70	$220.80
United Facility/Professional Professional Modifier Low / Median / High Price $93.55 / $165.60 / $469.46	Professional		$93.55	$165.60	$469.46