Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.25 / $10.25 / $53.08	Facility	26	$10.25	$10.25	$53.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $44.58 / $83.57	Professional		$31.92	$44.58	$83.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.02 / $12.03 / $22.42	Professional	26	$10.02	$12.03	$22.42
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.01 / $31.21 / $52.57	Professional	TC	$23.01	$31.21	$52.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $40.64 / $47.22	Professional		$21.63	$40.64	$47.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $11.63 / $17.98	Professional	26	$5.89	$11.63	$17.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.48 / $13.48 / $21.90	Professional		$13.48	$13.48	$21.90
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.34 / $8.34 / $8.34	Facility	26	$8.34	$8.34	$8.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $57.04 / $91.58	Professional		$36.56	$57.04	$91.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.97 / $15.73 / $26.08	Professional	26	$8.97	$15.73	$26.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.04 / $38.34 / $61.78	Professional	TC	$24.04	$38.34	$61.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $65.09 / $88.56	Professional		$49.80	$65.09	$88.56
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $16.34 / $22.21	Professional	26	$13.92	$16.34	$22.21
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.59 / $48.75 / $66.34	Professional	TC	$40.59	$48.75	$66.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $46.87 / $64.37	Professional		$33.92	$46.87	$64.37
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.73 / $12.94 / $48.00	Professional	26	$10.73	$12.94	$48.00
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $27.45 / $33.92 / $51.35	Professional	TC	$27.45	$33.92	$51.35
United Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $51.01 / $83.39	Professional		$34.27	$51.01	$83.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.07 / $14.50 / $24.73	Professional	26	$9.07	$14.50	$24.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.17 / $33.90 / $61.11	Professional	TC	$23.17	$33.90	$61.11