Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.17 / $29.17 / $29.17	Facility	26	$29.17	$29.17	$29.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $150.75 / $192.49	Professional		$106.52	$150.75	$192.49
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.10 / $30.10 / $30.10	Facility	26	$30.10	$30.10	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.37 / $177.89 / $358.51	Professional		$97.37	$177.89	$358.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.70 / $215.76 / $280.62	Professional		$165.70	$215.76	$280.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.79 / $131.40 / $219.73	Professional		$106.79	$131.40	$219.73
United Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $149.16 / $296.99	Professional		$100.43	$149.16	$296.99