Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.11 / $7.11 / $37.32	Facility	26	$7.11	$7.11	$37.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $33.57 / $57.41	Professional		$25.45	$33.57	$57.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.90 / $8.42 / $14.70	Professional	26	$6.90	$8.42	$14.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.43 / $25.13 / $37.72	Professional	TC	$18.43	$25.13	$37.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $25.04 / $39.22	Professional		$23.01	$25.04	$39.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.48 / $6.74 / $8.26	Professional	26	$6.48	$6.74	$8.26
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.99 / $5.99 / $5.99	Facility	26	$5.99	$5.99	$5.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.97 / $43.81 / $73.92	Professional		$27.97	$43.81	$73.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.35 / $10.84 / $18.35	Professional	26	$6.35	$10.84	$18.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.19 / $29.24 / $50.34	Professional	TC	$20.19	$29.24	$50.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $50.15 / $73.76	Professional		$38.39	$50.15	$73.76
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $11.48 / $15.74	Professional	26	$9.85	$11.48	$15.74
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.47 / $42.59 / $58.01	Professional	TC	$35.47	$42.59	$58.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $36.44 / $53.76	Professional		$30.52	$36.44	$53.76
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $8.61 / $35.22	Professional	26	$7.31	$8.61	$35.22
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $27.31 / $41.57	Professional	TC	$23.21	$27.31	$41.57
United Facility/Professional Professional Modifier Low / Median / High Price $25.29 / $37.17 / $66.93	Professional		$25.29	$37.17	$66.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.34 / $9.38 / $16.38	Professional	26	$6.34	$9.38	$16.38
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.86 / $29.39 / $52.88	Professional	TC	$18.86	$29.39	$52.88