Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.46 / $48.46 / $236.24	Facility	26	$48.46	$48.46	$236.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $129.81 / $188.40	Professional		$121.62	$129.81	$188.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.70 / $181.26 / $303.62	Professional		$89.70	$181.26	$303.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $111.05 / $128.72 / $165.51	Professional		$111.05	$128.72	$165.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $117.58 / $172.04	Professional		$89.46	$117.58	$172.04
United Facility/Professional Professional Modifier Low / Median / High Price $74.56 / $133.57 / $258.92	Professional		$74.56	$133.57	$258.92