Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.00 / $125.00 / $514.38	Facility	26	$125.00	$125.00	$514.38
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $125.00 / $265.00	Professional	26	$90.00	$125.00	$265.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.96 / $108.17 / $183.92	Professional	26	$62.96	$108.17	$183.92
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $114.15 / $114.15 / $114.15	Professional	26	$114.15	$114.15	$114.15
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.58 / $86.57 / $129.84	Professional	26	$73.58	$86.57	$129.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.38 / $104.08 / $181.67	Professional	26	$65.38	$104.08	$181.67