Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.56 / $21.56 / $34.70	Facility	26	$21.56	$21.56	$34.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.11 / $66.67 / $89.88	Professional		$54.11	$66.67	$89.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.11 / $20.47 / $28.22	Professional	26	$17.11	$20.47	$28.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $97.72 / $174.46	Professional		$51.15	$97.72	$174.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $27.46 / $46.12	Professional	26	$14.29	$27.46	$46.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $104.12 / $105.34	Professional		$37.00	$104.12	$105.34
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $27.77 / $28.08	Professional	26	$21.70	$27.77	$28.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.12 / $73.62 / $121.48	Professional		$46.12	$73.62	$121.48
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.84 / $18.64 / $61.37	Professional	26	$15.84	$18.64	$61.37
United Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $78.50 / $151.69	Professional		$35.57	$78.50	$151.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.62 / $20.68 / $42.42	Professional	26	$13.62	$20.68	$42.42