Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.25 / $20.25 / $20.25	Facility	26	$20.25	$20.25	$20.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.43 / $87.64 / $131.41	Professional		$54.43	$87.64	$131.41
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.69 / $20.69 / $20.69	Facility	26	$20.69	$20.69	$20.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $107.98 / $223.88	Professional		$42.16	$107.98	$223.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $139.32 / $181.04	Professional		$106.94	$139.32	$181.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $93.76 / $145.60	Professional		$69.53	$93.76	$145.60
United Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $98.12 / $190.11	Professional		$39.47	$98.12	$190.11