Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $42.66 / $77.62	Facility	26	$10.23	$42.66	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $56.23 / $144.54	Professional		$35.48	$56.23	$144.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $16.60 / $40.74	Professional	26	$10.00	$16.60	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $34.67 / $79.43	Professional	TC	$25.12	$34.67	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $44.67	Professional		$29.51	$33.11	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $10.96 / $12.02	Professional	26	$9.12	$10.96	$12.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $21.88	Professional		$13.49	$13.49	$21.88
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $8.32 / $8.32	Facility	26	$8.32	$8.32	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $97.72	Professional		$37.15	$57.54	$97.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $15.85 / $26.30	Professional	26	$9.55	$15.85	$26.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $38.02 / $63.10	Professional	TC	$25.12	$38.02	$63.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $91.20	Professional		$56.23	$66.07	$91.20
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.45 / $16.98 / $22.91	Professional	26	$14.45	$16.98	$22.91
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $41.69 / $50.12 / $67.61	Professional	TC	$41.69	$50.12	$67.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $95.50	Professional		$39.81	$47.86	$95.50
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.88 / $27.54	Professional	26	$10.96	$12.88	$27.54
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.84 / $35.48 / $64.57	Professional	TC	$28.84	$35.48	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $83.18	Professional		$33.11	$46.77	$83.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $13.80 / $23.99	Professional	26	$8.91	$13.80	$23.99
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $33.88 / $61.66	Professional	TC	$23.44	$33.88	$61.66