Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $257.04 / $398.11	Facility	26	$47.86	$257.04	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $151.36	Professional		$61.66	$77.62	$151.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $46.77 / $123.03	Professional	26	$38.02	$46.77	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $100.00 / $239.88	Professional		$67.61	$100.00	$239.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $60.26 / $131.83	Professional	26	$40.74	$60.26	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $158.49	Professional		$87.10	$114.82	$158.49
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $60.26 / $87.10	Professional	26	$45.71	$60.26	$87.10
Horizon BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $102.33 / $102.33 / $102.33	Facility	26	$102.33	$102.33	$102.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $77.62 / $165.96	Professional		$43.65	$77.62	$165.96
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $52.48 / $107.15	Professional	26	$38.02	$52.48	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $158.49	Professional		$66.07	$83.18	$158.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $50.12 / $97.72	Professional	26	$37.15	$50.12	$97.72