Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.97 / $426.58 / $758.58	Facility	26	$181.97	$426.58	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $125.89 / $331.13	Professional	26	$89.13	$125.89	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $97.72 / $97.72	Professional	26	$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $87.10 / $147.91	Professional	26	$47.86	$87.10	$147.91
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Professional	26	$91.20	$91.20	$91.20
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $69.18 / $117.49	Professional	26	$58.88	$69.18	$117.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $81.28 / $144.54	Professional	26	$51.29	$81.28	$144.54