Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.82 / $38.83 / $188.88	Facility	26	$38.82	$38.83	$188.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.27 / $215.13 / $272.39	Professional		$157.27	$215.13	$272.39
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $79.12 / $79.12 / $79.12	Professional		$79.12	$79.12	$79.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.29 / $278.00 / $464.07	Professional		$175.29	$278.00	$464.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.20 / $297.20 / $297.20	Professional		$297.20	$297.20	$297.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.10 / $233.06 / $328.09	Professional		$198.10	$233.06	$328.09
United Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $257.20 / $456.68	Professional		$192.20	$257.20	$456.68