Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.28 / $108.28 / $108.28	Facility	26	$108.28	$108.28	$108.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $221.26 / $343.56	Professional		$172.82	$221.26	$343.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.28 / $111.28 / $111.28	Facility	26	$111.28	$111.28	$111.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.56 / $298.13 / $565.63	Professional		$132.56	$298.13	$565.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.63 / $334.77 / $434.44	Professional		$257.63	$334.77	$434.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.81 / $220.91 / $352.83	Professional		$152.81	$220.91	$352.83
United Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $255.15 / $541.29	Professional		$151.55	$255.15	$541.29