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 $87.71 / $100.11 / $150.49	Professional	26	$87.71	$100.11	$150.49
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.28 / $140.94 / $241.23	Professional	26	$80.28	$140.94	$241.23
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $149.16 / $149.16 / $149.16	Professional	26	$149.16	$149.16	$149.16
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $95.47 / $112.32 / $140.94	Professional	26	$95.47	$112.32	$140.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.58 / $136.85 / $233.13	Professional	26	$83.58	$136.85	$233.13