Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.85 / $27.85 / $147.81	Facility	26	$27.85	$27.85	$147.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $118.51 / $217.77	Professional		$92.58	$118.51	$217.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.35 / $191.35 / $191.35	Professional		$191.35	$191.35	$191.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $151.55 / $306.26	Professional		$126.85	$151.55	$306.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $159.72 / $274.70	Professional		$91.97	$159.72	$274.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.15 / $158.69 / $271.50	Professional		$121.15	$158.69	$271.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $116.88 / $173.15	Professional		$99.35	$116.88	$173.15
United Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $129.50 / $231.32	Professional		$84.31	$129.50	$231.32