Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.65 / $39.65 / $39.65	Facility	26	$39.65	$39.65	$39.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $66.89 / $98.92	Professional		$52.50	$66.89	$98.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.63 / $39.65 / $54.46	Professional	26	$32.63	$39.65	$54.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $91.34 / $197.29	Professional		$64.70	$91.34	$197.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.36 / $51.94 / $111.19	Professional	26	$35.36	$51.94	$111.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $104.30 / $214.27	Professional		$78.20	$104.30	$214.27
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $37.99 / $50.87 / $104.09	Professional	26	$37.99	$50.87	$104.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $58.08 / $94.69	Professional		$34.72	$58.08	$94.69
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $31.98 / $38.58 / $62.09	Professional	26	$31.98	$38.58	$62.09
United Facility/Professional Professional Modifier Low / Median / High Price $58.12 / $76.18 / $154.63	Professional		$58.12	$76.18	$154.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.11 / $42.79 / $84.20	Professional	26	$31.11	$42.79	$84.20