Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.75 / $62.75 / $318.45	Facility	26	$62.75	$62.75	$318.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.19 / $169.35 / $265.63	Professional		$129.19	$169.35	$265.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.20 / $71.78 / $118.18	Professional	26	$58.20	$71.78	$118.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.69 / $233.16 / $391.32	Professional		$127.69	$233.16	$391.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.21 / $99.22 / $165.34	Professional	26	$54.21	$99.22	$165.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $196.34 / $241.15 / $412.34	Professional		$196.34	$241.15	$412.34
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.49 / $100.51 / $171.58	Professional	26	$82.49	$100.51	$171.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.65 / $167.69 / $243.68	Professional		$119.65	$167.69	$243.68
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $62.60 / $75.52 / $137.16	Professional	26	$62.60	$75.52	$137.16
United Facility/Professional Professional Modifier Low / Median / High Price $131.21 / $187.95 / $320.98	Professional		$131.21	$187.95	$320.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.89 / $82.02 / $142.54	Professional	26	$55.89	$82.02	$142.54