Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.24 / $49.24 / $49.24	Facility	26	$49.24	$49.24	$49.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $65.16 / $84.20	Professional		$49.96	$65.16	$84.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.38 / $44.89 / $57.56	Professional	26	$35.38	$44.89	$57.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $88.63 / $148.44	Professional		$63.55	$88.63	$148.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.93 / $61.98 / $103.89	Professional	26	$42.93	$61.98	$103.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.17 / $96.48 / $124.49	Professional		$74.17	$96.48	$124.49
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.85 / $64.86 / $83.14	Professional	26	$49.85	$64.86	$83.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $51.14 / $85.11	Professional		$22.70	$51.14	$85.11
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.45 / $41.71 / $71.97	Professional	26	$35.45	$41.71	$71.97
United Facility/Professional Professional Modifier Low / Median / High Price $49.62 / $70.14 / $131.66	Professional		$49.62	$70.14	$131.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.36 / $49.85 / $93.28	Professional	26	$33.36	$49.85	$93.28