Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $266.41 / $266.41 / $372.97	Facility	26	$266.41	$266.41	$372.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $803.10 / $952.60 / $1,356.88	Professional		$803.10	$952.60	$1,356.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $223.09 / $254.19 / $332.77	Professional	26	$223.09	$254.19	$332.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $958.40 / $1,358.15 / $3,074.58	Professional		$958.40	$1,358.15	$3,074.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $242.53 / $382.82 / $778.02	Professional	26	$242.53	$382.82	$778.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,314.86 / $1,447.11 / $1,610.46	Professional		$1,314.86	$1,447.11	$1,610.46
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $334.54 / $384.65 / $428.07	Professional	26	$334.54	$384.65	$428.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.50 / $872.35 / $1,280.38	Professional		$741.50	$872.35	$1,280.38
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $186.35 / $219.23 / $831.60	Professional	26	$186.35	$219.23	$831.60
United Facility/Professional Professional Modifier Low / Median / High Price $796.66 / $1,092.03 / $2,181.12	Professional		$796.66	$1,092.03	$2,181.12
United Facility/Professional Professional Modifier 26 Low / Median / High Price $206.01 / $287.42 / $548.79	Professional	26	$206.01	$287.42	$548.79