Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $338.84 / $467.74	Facility	26	$67.61	$338.84	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $630.96	Professional		$169.82	$234.42	$630.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $512.86	Professional		$190.55	$257.04	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $338.84 / $354.81	Professional		$295.12	$338.84	$354.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $426.58	Professional		$162.18	$208.93	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $234.42 / $436.52	Professional		$158.49	$234.42	$436.52