Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.42 / $69.42 / $69.42	Facility	26	$69.42	$69.42	$69.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.55 / $118.26 / $180.73	Professional		$99.55	$118.26	$180.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.30 / $65.78 / $101.30	Professional	26	$55.30	$65.78	$101.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $139.88 / $139.88	Professional		$139.88	$139.88	$139.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $58.77 / $58.77 / $58.77	Professional	26	$58.77	$58.77	$58.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.85 / $156.40 / $288.98	Professional		$86.85	$156.40	$288.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.57 / $93.25 / $167.65	Professional	26	$48.57	$93.25	$167.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $165.10 / $214.14	Professional		$127.23	$165.10	$214.14
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.81 / $94.01 / $121.76	Professional	26	$72.81	$94.01	$121.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $106.26 / $176.84	Professional		$60.28	$106.26	$176.84
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $51.86 / $62.65 / $96.24	Professional	26	$51.86	$62.65	$96.24
United Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $135.58 / $267.14	Professional		$80.52	$135.58	$267.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.73 / $74.86 / $143.24	Professional	26	$48.73	$74.86	$143.24