Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $316.23 / $562.34	Facility	26	$63.10	$316.23	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $363.08	Professional		$128.82	$177.83	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $75.86 / $190.55	Professional	26	$57.54	$75.86	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $134.90 / $199.53	Professional		$131.83	$134.90	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $363.08	Professional		$131.83	$223.87	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $97.72 / $158.49	Professional	26	$57.54	$97.72	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $218.78 / $302.00	Professional		$208.93	$218.78	$302.00
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $89.13 / $123.03	Professional	26	$85.11	$89.13	$123.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $338.84	Professional		$144.54	$177.83	$338.84
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $75.86 / $162.18	Professional	26	$64.57	$75.86	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $323.59	Professional		$131.83	$181.97	$323.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $79.43 / $141.25	Professional	26	$56.23	$79.43	$141.25