Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $449.66 / $449.66 / $706.54	Facility	26	$449.66	$449.66	$706.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.58 / $1,534.89 / $1,789.25	Professional		$1,315.58	$1,534.89	$1,789.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $432.38 / $432.38 / $432.38	Professional		$432.38	$432.38	$432.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,480.47 / $2,197.71 / $4,783.72	Professional		$1,480.47	$2,197.71	$4,783.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,990.42 / $2,195.67 / $2,443.51	Professional		$1,990.42	$2,195.67	$2,443.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,168.28 / $1,433.69 / $2,134.89	Professional		$1,168.28	$1,433.69	$2,134.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,196.22 / $1,690.12 / $3,386.21	Professional		$1,196.22	$1,690.12	$3,386.21