Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $81.28 / $338.84 / $616.60	Facility	26	$81.28	$338.84	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $870.96	Professional		$194.98	$338.84	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $371.54	Professional		$245.47	$363.08	$371.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $194.98	Professional		$85.11	$85.11	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $562.34	Professional		$186.21	$323.59	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $323.59 / $446.68	Professional		$309.03	$323.59	$446.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $281.84 / $524.81	Professional		$229.09	$281.84	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $489.78	Professional		$169.82	$263.03	$489.78