Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $239.88 / $512.86 / $758.58	Facility	26	$239.88	$512.86	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $91.20 / $125.89 / $331.13	Professional	26	$91.20	$125.89	$331.13
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Professional	26	$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $114.82 / $194.98	Professional	26	$64.57	$114.82	$194.98
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $89.13 / $158.49	Professional	26	$75.86	$89.13	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $104.71 / $186.21	Professional	26	$64.57	$104.71	$186.21