Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.24 / $63.24 / $401.54	Facility	26	$63.24	$63.24	$401.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.43 / $130.30 / $181.89	Professional		$61.43	$130.30	$181.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $178.32 / $347.29	Professional		$67.91	$178.32	$347.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $100.70 / $189.70	Professional		$76.20	$100.70	$189.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $88.64 / $172.41	Professional		$52.47	$88.64	$172.41
United Facility/Professional Professional Modifier Low / Median / High Price $52.46 / $121.76 / $217.35	Professional		$52.46	$121.76	$217.35