Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.98 / $9.98 / $51.68	Facility	26	$9.98	$9.98	$51.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $41.40 / $73.87	Professional		$29.16	$41.40	$73.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.49 / $11.39 / $22.21	Professional	26	$9.49	$11.39	$22.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.23 / $28.42 / $42.26	Professional	TC	$20.23	$28.42	$42.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $30.00 / $44.14	Professional		$28.46	$30.00	$44.14
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.92 / $11.45 / $24.59	Professional	26	$9.92	$11.45	$24.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $51.61 / $85.06	Professional		$32.96	$51.61	$85.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.49 / $14.93 / $24.89	Professional	26	$8.49	$14.93	$24.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.87 / $33.13 / $54.06	Professional	TC	$21.87	$33.13	$54.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $60.88 / $82.86	Professional		$45.67	$60.88	$82.86
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $15.91 / $21.63	Professional	26	$13.57	$15.91	$21.63
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.44 / $44.96 / $61.22	Professional	TC	$37.44	$44.96	$61.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $41.38 / $60.69	Professional		$35.17	$41.38	$60.69
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $12.24 / $41.49	Professional	26	$10.15	$12.24	$41.49
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.02 / $29.44 / $46.82	Professional	TC	$25.02	$29.44	$46.82
United Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $42.95 / $74.72	Professional		$29.65	$42.95	$74.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.78 / $13.66 / $22.65	Professional	26	$8.78	$13.66	$22.65
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.37 / $32.29 / $55.52	Professional	TC	$21.37	$32.29	$55.52