Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $95.50 / $95.50	Facility	26	$54.95	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $199.53	Professional		$79.43	$95.50	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $251.19	Professional		$72.44	$141.25	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $190.55	Professional		$144.54	$158.49	$190.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $234.42	Professional		$70.79	$95.50	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $186.21	Professional		$70.79	$102.33	$186.21