Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $23.55 / $23.55 / $121.93	Facility	26	$23.55	$23.55	$121.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $87.73 / $130.12	Professional		$75.86	$87.73	$130.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $129.88 / $211.48	Professional		$70.98	$129.88	$211.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $128.46 / $220.19	Professional		$105.86	$128.46	$220.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $94.20 / $141.28	Professional		$60.06	$94.20	$141.28
United Facility/Professional Professional Modifier Low / Median / High Price $70.92 / $102.87 / $183.06	Professional		$70.92	$102.87	$183.06