Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $131.83 / $177.83	Facility	26	$83.18	$131.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $380.19 / $954.99	Professional		$316.23	$380.19	$954.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $112.20 / $199.53	Professional	26	$97.72	$112.20	$199.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $190.55 / $263.03 / $501.19	Professional	TC	$190.55	$263.03	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $1,230.27	Professional		$331.13	$489.78	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $158.49 / $354.81	Professional	26	$97.72	$158.49	$354.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $338.84 / $870.96	Professional	TC	$229.09	$338.84	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $630.96	Professional		$354.81	$478.63	$630.96
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $151.36 / $199.53	Professional	26	$109.65	$151.36	$199.53
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $323.59 / $436.52	Professional	TC	$239.88	$323.59	$436.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $794.33	Professional		$288.40	$407.38	$794.33
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $120.23 / $275.42	Professional	26	$85.11	$120.23	$275.42
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $204.17 / $295.12 / $602.56	Professional	TC	$204.17	$295.12	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $724.44	Professional		$239.88	$354.81	$724.44
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $109.65 / $229.09	Professional	26	$77.62	$109.65	$229.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $245.47 / $512.86	Professional	TC	$162.18	$245.47	$512.86