Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.83 / $6.84 / $35.92	Facility	26	$6.83	$6.84	$35.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $35.57 / $76.05	Professional		$25.59	$35.57	$76.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $8.13 / $17.43	Professional	26	$6.64	$8.13	$17.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.48 / $25.95 / $48.36	Professional	TC	$19.48	$25.95	$48.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $28.02 / $38.22	Professional		$28.02	$28.02	$38.22
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $3.97 / $6.68 / $17.16	Professional	26	$3.97	$6.68	$17.16
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.80 / $15.06 / $43.56	Professional		$14.80	$15.06	$43.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.76 / $5.76 / $5.76	Facility	26	$5.76	$5.76	$5.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $40.94 / $67.55	Professional		$27.23	$40.94	$67.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.39 / $17.21	Professional	26	$6.03	$10.39	$17.21
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 $38.43 / $49.82 / $71.91	Professional		$38.43	$49.82	$71.91
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.48 / $11.05 / $15.16	Professional	26	$9.48	$11.05	$15.16
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.68 / $41.65 / $56.74	Professional	TC	$34.68	$41.65	$56.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $35.59 / $49.70	Professional		$23.21	$35.59	$49.70
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $8.27 / $23.32	Professional	26	$7.04	$8.27	$23.32
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.39 / $28.69 / $48.03	Professional	TC	$24.39	$28.69	$48.03
United Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $37.29 / $65.06	Professional		$24.99	$37.29	$65.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.19 / $9.41 / $16.23	Professional	26	$6.19	$9.41	$16.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.80 / $30.40 / $51.90	Professional	TC	$19.80	$30.40	$51.90