Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.00 / $17.78 / $17.78	Facility	26	$10.00	$17.78	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $131.83	Professional		$43.65	$52.48	$131.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $15.14 / $15.14 / $15.14	Facility	26	$15.14	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $151.36	Professional		$53.70	$77.62	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $102.33	Professional		$58.88	$70.79	$102.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $128.82	Professional		$44.67	$60.26	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $114.82	Professional		$38.90	$60.26	$114.82