Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $269.15 / $269.15	Facility	26	$147.91	$269.15	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $204.17 / $371.54	Professional		$162.18	$204.17	$371.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $83.18	Facility	26	$83.18	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $263.03 / $467.74	Professional		$144.54	$263.03	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $426.58	Professional		$331.13	$363.08	$426.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $489.78	Professional		$154.88	$199.53	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $204.17 / $380.19	Professional		$123.03	$204.17	$380.19