Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $123.03 / $213.80	Facility	26	$75.86	$123.03	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $309.03	Professional		$61.66	$107.15	$309.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $223.87	Professional		$67.61	$117.49	$223.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $177.83	Professional		$95.50	$125.89	$177.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $199.53	Professional		$87.10	$102.33	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $154.88	Professional		$54.95	$81.28	$154.88