Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $41.69 / $41.69	Facility	26	$25.12	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $123.03	Professional		$60.26	$75.86	$123.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $22.91 / $37.15	Professional	26	$19.95	$22.91	$37.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $102.33 / $173.78	Professional		$74.13	$102.33	$173.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $30.90 / $52.48	Professional	26	$22.91	$30.90	$52.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $134.90	Professional		$70.79	$93.33	$134.90
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $29.51 / $40.74	Professional	26	$23.44	$29.51	$40.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $158.49	Professional		$60.26	$79.43	$158.49
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $18.20 / $24.55 / $56.23	Professional	26	$18.20	$24.55	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $147.91	Professional		$51.29	$79.43	$147.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $23.99 / $43.65	Professional	26	$15.49	$23.99	$43.65