Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.51 / $22.51 / $22.51	Facility	26	$22.51	$22.51	$22.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $38.85 / $73.50	Professional		$31.48	$38.85	$73.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $22.51 / $33.50	Professional	26	$19.55	$22.51	$33.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.09 / $63.76 / $124.13	Professional		$40.09	$63.76	$124.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.40 / $31.22 / $68.72	Professional	26	$21.40	$31.22	$68.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.27 / $77.70 / $159.66	Professional		$58.27	$77.70	$159.66
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.11 / $31.03 / $63.32	Professional	26	$23.11	$31.03	$63.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $39.83 / $64.98	Professional		$19.47	$39.83	$64.98
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.44 / $26.85 / $43.89	Professional	26	$18.44	$26.85	$43.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $47.93 / $92.88	Professional		$30.55	$47.93	$92.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.91 / $25.53 / $44.05	Professional	26	$15.91	$25.53	$44.05