Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.30 / $27.30 / $145.01	Facility	26	$27.30	$27.30	$145.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $89.14 / $159.27	Professional		$72.70	$89.14	$159.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $82.55 / $155.38	Professional		$77.70	$82.55	$155.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $109.75 / $146.96	Professional		$35.79	$109.75	$146.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.13 / $126.63 / $214.57	Professional		$72.13	$126.63	$214.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.72 / $121.40 / $260.27	Professional		$99.72	$121.40	$260.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $88.22 / $130.68	Professional		$68.69	$88.22	$130.68
United Facility/Professional Professional Modifier Low / Median / High Price $67.51 / $101.40 / $174.24	Professional		$67.51	$101.40	$174.24