Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.69 / $20.69 / $34.06	Facility	26	$20.69	$20.69	$34.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.53 / $66.86 / $124.48	Professional		$51.53	$66.86	$124.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $19.87 / $30.04	Professional	26	$17.26	$19.87	$30.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $97.11 / $179.75	Professional		$53.00	$97.11	$179.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $26.96 / $44.85	Professional	26	$14.29	$26.96	$44.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $112.42 / $113.75	Professional		$37.51	$112.42	$113.75
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 $60.46 / $77.81 / $137.88	Professional		$60.46	$77.81	$137.88
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $15.54 / $18.28 / $52.53	Professional	26	$15.54	$18.28	$52.53
United Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $80.70 / $156.08	Professional		$30.22	$80.70	$156.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $22.03 / $39.42	Professional	26	$13.18	$22.03	$39.42