Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $95.50 / $218.78 / $389.05	Facility	26	$95.50	$218.78	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $77.62 / $165.96	Professional		$45.71	$77.62	$165.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $39.81 / $93.33	Professional	26	$28.18	$39.81	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $112.20 / $194.98	Professional		$54.95	$112.20	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $56.23 / $93.33	Professional	26	$29.51	$56.23	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $69.18 / $95.50	Professional		$66.07	$69.18	$95.50
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $41.69 / $57.54	Professional	26	$38.90	$41.69	$57.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $194.98	Professional		$51.29	$72.44	$194.98
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $40.74 / $97.72	Professional	26	$29.51	$40.74	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $144.54	Professional		$44.67	$79.43	$144.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.30 / $41.69 / $74.13	Professional	26	$26.30	$41.69	$74.13