Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $81.28 / $120.23	Facility	26	$75.86	$81.28	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $177.83 / $380.19	Professional		$141.25	$177.83	$380.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $85.11 / $245.47	Professional	26	$61.66	$85.11	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $154.88	Professional		$138.04	$138.04	$154.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $371.54	Professional		$158.49	$213.80	$371.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $91.20 / $154.88	Professional	26	$67.61	$91.20	$154.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $331.13	Professional		$173.78	$234.42	$331.13
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $93.33 / $131.83	Professional	26	$69.18	$93.33	$131.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $323.59	Professional		$114.82	$158.49	$323.59
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $74.13 / $158.49	Professional	26	$54.95	$74.13	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $309.03	Professional		$109.65	$165.96	$309.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $72.44 / $128.82	Professional	26	$47.86	$72.44	$128.82