Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $512.86 / $870.96	Facility	26	$151.36	$512.86	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $151.36 / $457.09	Professional	26	$107.15	$151.36	$457.09
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $107.15 / $204.17	Professional	26	$85.11	$107.15	$204.17
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $144.54 / $245.47	Professional	26	$79.43	$144.54	$245.47
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $151.36 / $151.36	Professional	26	$151.36	$151.36	$151.36
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $114.82 / $199.53	Professional	26	$97.72	$114.82	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $134.90 / $239.88	Professional	26	$83.18	$134.90	$239.88