Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.76 / $91.84 / $137.99	Facility	26	$69.76	$91.84	$137.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $319.75 / $491.71	Professional		$271.75	$319.75	$491.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.76 / $91.49 / $140.71	Professional	26	$69.76	$91.49	$140.71
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $197.99 / $229.05 / $366.01	Professional	TC	$197.99	$229.05	$366.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.02 / $477.76 / $871.24	Professional		$300.02	$477.76	$871.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.88 / $131.28 / $270.14	Professional	26	$77.88	$131.28	$270.14
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $215.54 / $350.45 / $647.60	Professional	TC	$215.54	$350.45	$647.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $287.50 / $516.74	Professional		$30.00	$287.50	$516.74
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $93.25 / $127.72 / $152.18	Professional	26	$93.25	$127.72	$152.18
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $226.37 / $319.80 / $364.56	Professional	TC	$226.37	$319.80	$364.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.07 / $291.72 / $498.74	Professional		$232.07	$291.72	$498.74
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.98 / $78.25 / $207.03	Professional	26	$64.98	$78.25	$207.03
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $167.08 / $206.60 / $397.06	Professional	TC	$167.08	$206.60	$397.06
United Facility/Professional Professional Modifier Low / Median / High Price $210.28 / $298.77 / $689.28	Professional		$210.28	$298.77	$689.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.00 / $92.13 / $197.94	Professional	26	$60.00	$92.13	$197.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $151.08 / $213.14 / $499.93	Professional	TC	$151.08	$213.14	$499.93