Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.62 / $26.63 / $40.45	Facility	26	$26.62	$26.63	$40.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $137.60 / $157.30	Professional		$119.85	$137.60	$157.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.97 / $24.25 / $28.18	Professional	26	$21.97	$24.25	$28.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $22.83 / $22.83 / $22.83	Professional	26	$22.83	$22.83	$22.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.99 / $213.12 / $411.61	Professional		$138.99	$213.12	$411.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.91 / $32.61 / $61.35	Professional	26	$19.91	$32.61	$61.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $203.24 / $421.93	Professional		$153.99	$203.24	$421.93
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.59 / $32.54 / $70.12	Professional	26	$25.59	$32.54	$70.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $160.57 / $235.71	Professional		$108.33	$160.57	$235.71
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $19.18 / $22.56 / $200.59	Professional	26	$19.18	$22.56	$200.59
United Facility/Professional Professional Modifier Low / Median / High Price $117.47 / $165.62 / $306.64	Professional		$117.47	$165.62	$306.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.89 / $26.91 / $47.70	Professional	26	$17.89	$26.91	$47.70