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 $50.12 / $81.70 / $127.74	Professional		$50.12	$81.70	$127.74
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 $40.97 / $108.39 / $209.09	Professional		$40.97	$108.39	$209.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.28 / $122.70 / $159.56	Professional		$94.28	$122.70	$159.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $89.43 / $139.16	Professional		$72.68	$89.43	$139.16
United Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $92.72 / $179.39	Professional		$37.92	$92.72	$179.39