Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $190.55 / $190.55	Facility	26	$107.15	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $436.52	Professional		$186.21	$234.42	$436.52
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $112.20 / $112.20	Facility	26	$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $323.59 / $588.84	Professional		$173.78	$323.59	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $478.63	Professional		$371.54	$407.38	$478.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $588.84	Professional		$199.53	$263.03	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $478.63	Professional		$151.36	$257.04	$478.63