Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.69 / $21.69 / $107.48	Facility	26	$21.69	$21.69	$107.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $114.80 / $218.32	Professional		$84.89	$114.80	$218.32
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.96 / $17.96 / $17.96	Facility	26	$17.96	$17.96	$17.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $191.16 / $569.20	Professional		$80.75	$191.16	$569.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.55 / $147.05 / $507.88	Professional		$123.55	$147.05	$507.88
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $118.52 / $253.81	Professional		$96.42	$118.52	$253.81
United Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $164.21 / $434.58	Professional		$87.25	$164.21	$434.58