Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.39 / $7.39 / $41.77	Facility	26	$7.39	$7.39	$41.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.42 / $46.44	Professional		$22.91	$30.42	$46.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.39 / $9.08 / $15.06	Professional	26	$7.39	$9.08	$15.06
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.93 / $20.66 / $26.03	Professional	TC	$14.93	$20.66	$26.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $22.04 / $22.48	Professional		$22.04	$22.04	$22.48
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $7.49 / $9.19	Professional	26	$7.49	$7.49	$9.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.22 / $6.22 / $6.22	Facility	26	$6.22	$6.22	$6.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $40.53 / $65.01	Professional		$24.85	$40.53	$65.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.97 / $12.15 / $20.28	Professional	26	$6.97	$12.15	$20.28
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.30 / $26.94 / $45.17	Professional	TC	$16.30	$26.94	$45.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $44.55 / $60.87	Professional		$36.21	$44.55	$60.87
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $12.85 / $17.59	Professional	26	$11.00	$12.85	$17.59
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.42 / $31.69 / $43.30	Professional	TC	$26.42	$31.69	$43.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $30.55 / $45.26	Professional		$25.97	$30.55	$45.26
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $9.66 / $25.70	Professional	26	$8.19	$9.66	$25.70
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $17.77 / $21.73 / $36.61	Professional	TC	$17.77	$21.73	$36.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.76 / $34.71 / $57.33	Professional		$23.76	$34.71	$57.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.99 / $10.95 / $18.32	Professional	26	$6.99	$10.95	$18.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.52 / $23.42 / $40.45	Professional	TC	$16.52	$23.42	$40.45