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 $71.91 / $127.04 / $214.55	Professional	26	$71.91	$127.04	$214.55
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $132.46 / $132.46 / $132.46	Professional	26	$132.46	$132.46	$132.46
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $84.51 / $99.42 / $158.13	Professional	26	$84.51	$99.42	$158.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $78.36 / $122.82 / $208.66	Professional	26	$78.36	$122.82	$208.66