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
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.44 / $100.89 / $136.71	Professional	26	$85.44	$100.89	$136.71
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $132.88 / $296.73 / $3,068.00	Professional	26	$132.88	$296.73	$3,068.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.73 / $139.94 / $239.82	Professional	26	$79.73	$139.94	$239.82
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $148.36 / $148.36 / $148.36	Professional	26	$148.36	$148.36	$148.36
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $94.73 / $111.45 / $161.63	Professional	26	$94.73	$111.45	$161.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.08 / $136.54 / $236.38	Professional	26	$83.08	$136.54	$236.38