Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.03 / $53.03 / $53.03	Facility	26	$53.03	$53.03	$53.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $107.43 / $183.44	Professional		$90.20	$107.43	$183.44
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.78 / $53.78 / $53.78	Facility	26	$53.78	$53.78	$53.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $146.69 / $283.02	Professional		$79.92	$146.69	$283.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $167.00 / $412.40	Professional		$128.63	$167.00	$412.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $101.89 / $168.23	Professional		$73.19	$101.89	$168.23
United Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $134.97 / $243.53	Professional		$76.17	$134.97	$243.53