Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.85 / $63.85 / $63.85	Facility	26	$63.85	$63.85	$63.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $132.47 / $190.30	Professional		$107.03	$132.47	$190.30
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.79 / $65.79 / $65.79	Facility	26	$65.79	$65.79	$65.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.27 / $165.93 / $338.37	Professional		$93.27	$165.93	$338.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.29 / $188.80 / $244.90	Professional		$145.29	$188.80	$244.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $116.47 / $189.94	Professional		$82.45	$116.47	$189.94
United Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $146.27 / $274.85	Professional		$78.77	$146.27	$274.85