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 $64.34 / $113.60 / $194.63	Professional	26	$64.34	$113.60	$194.63
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $118.76 / $118.76 / $118.76	Professional	26	$118.76	$118.76	$118.76
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $74.02 / $87.08 / $133.41	Professional	26	$74.02	$87.08	$133.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.58 / $112.71 / $186.15	Professional	26	$71.58	$112.71	$186.15