Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $128.82 / $234.42	Facility	26	$38.90	$128.82	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $660.69	Professional		$144.54	$263.03	$660.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.90 / $38.02 / $123.03	Professional	26	$30.90	$38.02	$123.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $34.67 / $64.57	Professional	26	$30.20	$34.67	$64.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $549.54	Professional		$128.82	$309.03	$549.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $46.77 / $79.43	Professional	26	$26.92	$46.77	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $48.98 / $48.98	Professional	26	$48.98	$48.98	$48.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $524.81	Professional		$263.03	$309.03	$524.81
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $37.15 / $66.07	Professional	26	$31.62	$37.15	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $309.03 / $602.56	Professional		$158.49	$309.03	$602.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $44.67 / $75.86	Professional	26	$31.62	$44.67	$75.86