Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.10 / $57.10 / $277.52	Facility	26	$57.10	$57.10	$277.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $334.32 / $420.80	Professional		$247.34	$334.32	$420.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $62.64 / $71.40	Professional	26	$44.53	$62.64	$71.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.34 / $245.34 / $245.34	Professional		$245.34	$245.34	$245.34
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $49.57 / $49.57 / $49.57	Professional	26	$49.57	$49.57	$49.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $421.85 / $707.34	Professional		$251.27	$421.85	$707.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.23 / $80.81 / $136.63	Professional	26	$46.23	$80.81	$136.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $464.31 / $464.31 / $464.31	Professional		$464.31	$464.31	$464.31
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.55 / $84.55 / $84.55	Professional	26	$84.55	$84.55	$84.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.89 / $368.11 / $493.89	Professional		$312.89	$368.11	$493.89
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.23 / $63.80 / $92.43	Professional	26	$54.23	$63.80	$92.43
United Facility/Professional Professional Modifier Low / Median / High Price $276.22 / $416.83 / $743.62	Professional		$276.22	$416.83	$743.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.33 / $79.34 / $134.68	Professional	26	$57.33	$79.34	$134.68