Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.83 / $83.83 / $176.24	Facility	26	$83.83	$83.83	$176.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.06 / $346.93 / $655.53	Professional		$241.06	$346.93	$655.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.83 / $112.50 / $178.94	Professional	26	$83.83	$112.50	$178.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $157.22 / $241.83 / $449.71	Professional	TC	$157.22	$241.83	$449.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.38 / $520.59 / $1,027.53	Professional		$327.38	$520.59	$1,027.53
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.84 / $164.66 / $338.66	Professional	26	$97.84	$164.66	$338.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $230.07 / $346.77 / $688.86	Professional	TC	$230.07	$346.77	$688.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $392.62 / $548.97 / $634.27	Professional		$392.62	$548.97	$634.27
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.34 / $159.91 / $190.82	Professional	26	$117.34	$159.91	$190.82
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $275.27 / $389.05 / $443.43	Professional	TC	$275.27	$389.05	$443.43
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $341.35 / $597.91	Professional		$278.20	$341.35	$597.91
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $82.31 / $99.11 / $260.68	Professional	26	$82.31	$99.11	$260.68
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $195.90 / $242.24 / $421.00	Professional	TC	$195.90	$242.24	$421.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.02 / $356.57 / $825.99	Professional		$244.02	$356.57	$825.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $76.66 / $108.51 / $239.82	Professional	26	$76.66	$108.51	$239.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $166.98 / $254.41 / $554.24	Professional	TC	$166.98	$254.41	$554.24