Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.88 / $3.88 / $6.50	Facility	26	$3.88	$3.88	$6.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $49.26 / $66.70	Professional		$40.51	$49.26	$66.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $52.57 / $52.57	Professional		$52.57	$52.57	$52.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $198.00 / $198.00	Professional		$198.00	$198.00	$198.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $71.63 / $122.76	Professional		$51.71	$71.63	$122.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $68.86 / $97.64	Professional		$50.80	$68.86	$97.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.94 / $59.19 / $103.31	Professional		$42.94	$59.19	$103.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $60.38 / $113.26	Professional		$38.49	$60.38	$113.26