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 $63.49 / $109.99 / $188.58	Professional	26	$63.49	$109.99	$188.58
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $116.70 / $116.70 / $116.70	Professional	26	$116.70	$116.70	$116.70
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $73.81 / $86.83 / $102.15	Professional	26	$73.81	$86.83	$102.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.98 / $105.80 / $180.35	Professional	26	$67.98	$105.80	$180.35