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 $20.96 / $36.40 / $61.22	Professional	26	$20.96	$36.40	$61.22
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.89 / $37.89 / $37.89	Professional	26	$37.89	$37.89	$37.89
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.78 / $29.15 / $86.05	Professional	26	$24.78	$29.15	$86.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.22 / $34.94 / $57.95	Professional	26	$21.22	$34.94	$57.95