Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.15 / $122.15 / $122.15	Facility	26	$122.15	$122.15	$122.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.82 / $404.01 / $571.88	Professional	TC	$331.82	$404.01	$571.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $350.81 / $584.49 / $1,079.90	Professional	TC	$350.81	$584.49	$1,079.90
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $518.03 / $677.99 / $878.98	Professional	TC	$518.03	$677.99	$878.98
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $329.20 / $407.07 / $625.33	Professional	TC	$329.20	$407.07	$625.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $318.39 / $433.96 / $816.53	Professional	TC	$318.39	$433.96	$816.53