Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $365.79 / $365.79 / $512.10	Facility	26	$365.79	$365.79	$512.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,069.59 / $1,251.91 / $1,810.31	Professional		$1,069.59	$1,251.91	$1,810.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $307.43 / $354.37 / $464.95	Professional	26	$307.43	$354.37	$464.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,209.00 / $1,790.26 / $3,909.26	Professional		$1,209.00	$1,790.26	$3,909.26
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $339.44 / $525.89 / $1,087.52	Professional	26	$339.44	$525.89	$1,087.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,626.56 / $1,793.85 / $1,996.33	Professional		$1,626.56	$1,793.85	$1,996.33
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $467.64 / $537.78 / $598.48	Professional	26	$467.64	$537.78	$598.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $943.07 / $1,129.07 / $1,798.10	Professional		$943.07	$1,129.07	$1,798.10
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $260.74 / $306.75 / $560.54	Professional	26	$260.74	$306.75	$560.54
United Facility/Professional Professional Modifier Low / Median / High Price $977.42 / $1,400.45 / $3,290.05	Professional		$977.42	$1,400.45	$3,290.05
United Facility/Professional Professional Modifier 26 Low / Median / High Price $288.00 / $379.21 / $766.09	Professional	26	$288.00	$379.21	$766.09