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 $60.44 / $105.42 / $183.08	Professional	26	$60.44	$105.42	$183.08
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $108.90 / $108.90 / $108.90	Professional	26	$108.90	$108.90	$108.90
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $69.13 / $81.33 / $169.63	Professional	26	$69.13	$81.33	$169.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.66 / $106.54 / $173.46	Professional	26	$63.66	$106.54	$173.46