Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $120.31 / $164.09	Professional		$62.20	$120.31	$164.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.92 / $22.34 / $31.29	Professional	26	$16.92	$22.34	$31.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $88.15 / $223.00	Professional		$49.64	$88.15	$223.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.24 / $27.46 / $46.58	Professional	26	$14.24	$27.46	$46.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $144.38 / $205.02	Professional		$101.07	$144.38	$205.02
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.85 / $26.93 / $37.60	Professional	26	$18.85	$26.93	$37.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $107.81 / $220.38	Professional		$78.73	$107.81	$220.38
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.23 / $24.24 / $72.81	Professional	26	$18.23	$24.24	$72.81
United Facility/Professional Professional Modifier Low / Median / High Price $51.18 / $90.94 / $163.99	Professional		$51.18	$90.94	$163.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $12.44 / $21.54 / $38.27	Professional	26	$12.44	$21.54	$38.27