Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.90 / $57.91 / $57.91	Facility	26	$57.90	$57.91	$57.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.91 / $335.87 / $485.28	Professional		$268.91	$335.87	$485.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.26 / $56.18 / $87.22	Professional	26	$46.26	$56.18	$87.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.58 / $310.83 / $624.57	Professional		$208.58	$310.83	$624.57
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $71.89 / $71.89 / $71.89	Professional	26	$71.89	$71.89	$71.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $83.66 / $300.00	Professional		$75.23	$83.66	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.36 / $470.91 / $984.36	Professional		$241.36	$470.91	$984.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.49 / $76.95 / $140.88	Professional	26	$41.49	$76.95	$140.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $410.28 / $535.52 / $694.73	Professional		$410.28	$535.52	$694.73
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.70 / $80.80 / $104.91	Professional	26	$62.70	$80.80	$104.91
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.58 / $325.88 / $575.66	Professional		$264.58	$325.88	$575.66
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $44.23 / $53.41 / $148.66	Professional	26	$44.23	$53.41	$148.66
United Facility/Professional Professional Modifier Low / Median / High Price $215.76 / $375.02 / $745.60	Professional		$215.76	$375.02	$745.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.45 / $62.69 / $110.34	Professional	26	$40.45	$62.69	$110.34