Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.24 / $47.24 / $227.48	Facility	26	$47.24	$47.24	$227.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.51 / $138.81 / $241.20	Professional		$104.51	$138.81	$241.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.75 / $37.75 / $37.75	Facility	26	$37.75	$37.75	$37.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.58 / $226.65 / $602.97	Professional		$97.58	$226.65	$602.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $173.94 / $544.73	Professional		$147.41	$173.94	$544.73
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.93 / $134.03 / $236.48	Professional		$113.93	$134.03	$236.48
United Facility/Professional Professional Modifier Low / Median / High Price $99.08 / $185.34 / $470.36	Professional		$99.08	$185.34	$470.36