Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $114.82 / $208.93	Facility	26	$28.18	$114.82	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $102.33 / $316.23	Professional		$58.88	$102.33	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $97.72	Professional		$66.07	$97.72	$97.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $54.95	Professional		$29.51	$29.51	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $100.00 / $162.18	Professional		$58.88	$100.00	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $117.49	Professional		$81.28	$85.11	$117.49
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $144.54	Professional		$60.26	$74.13	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $81.28 / $141.25	Professional		$53.70	$81.28	$141.25