Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.09 / $25.09 / $25.09	Facility	26	$25.09	$25.09	$25.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.37 / $40.18 / $67.59	Professional		$28.37	$40.18	$67.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.35 / $21.94 / $31.67	Professional	26	$18.35	$21.94	$31.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $60.56 / $113.62	Professional		$40.40	$60.56	$113.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.93 / $30.01 / $64.29	Professional	26	$19.93	$30.01	$64.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $76.19 / $157.33	Professional		$57.42	$76.19	$157.33
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $22.26 / $29.59 / $60.99	Professional	26	$22.26	$29.59	$60.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $37.15 / $64.15	Professional		$20.55	$37.15	$64.15
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $16.57 / $19.97 / $36.82	Professional	26	$16.57	$19.97	$36.82
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $46.06 / $86.62	Professional		$31.27	$46.06	$86.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.95 / $23.13 / $44.98	Professional	26	$13.95	$23.13	$44.98