Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $416.87 / $758.58	Facility	26	$147.91	$416.87	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $263.03	Professional	26	$89.13	$125.89	$263.03
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $109.65 / $186.21	Professional	26	$63.10	$109.65	$186.21
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Professional	26	$117.49	$117.49	$117.49
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $89.13 / $158.49	Professional	26	$75.86	$89.13	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $104.71 / $186.21	Professional	26	$66.07	$104.71	$186.21