Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.89 / $42.89 / $42.89	Facility	26	$42.89	$42.89	$42.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $223.22 / $321.72	Professional		$152.88	$223.22	$321.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.01 / $61.01 / $61.01	Facility	26	$61.01	$61.01	$61.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.86 / $291.69 / $525.90	Professional		$137.86	$291.69	$525.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $277.38 / $363.39 / $472.57	Professional		$277.38	$363.39	$472.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.53 / $203.71 / $359.49	Professional		$165.53	$203.71	$359.49
United Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $210.05 / $395.04	Professional		$143.88	$210.05	$395.04