Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $138.04 / $316.23	Facility	26	$40.74	$138.04	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $173.78 / $478.63	Professional		$95.50	$173.78	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $165.96	Professional		$89.13	$97.72	$165.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $123.03 / $331.13	Professional		$38.90	$123.03	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $263.03	Professional		$97.72	$158.49	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $204.17	Professional		$141.25	$147.91	$204.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $234.42	Professional		$102.33	$120.23	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $218.78	Professional		$91.20	$125.89	$218.78