Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.25 / $9.68 / $14.39	Professional	26	$8.25	$9.68	$14.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.11 / $24.60 / $33.40	Professional	TC	$19.11	$24.60	$33.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $13.23 / $21.92	Professional	26	$7.78	$13.23	$21.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.29 / $31.27 / $51.25	Professional	TC	$20.29	$31.27	$51.25
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.12 / $14.19 / $19.35	Professional	26	$12.12	$14.19	$19.35
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.54 / $37.85 / $51.61	Professional	TC	$31.54	$37.85	$51.61
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.03 / $10.93 / $37.60	Professional	26	$9.03	$10.93	$37.60
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.91 / $27.67 / $42.87	Professional	TC	$22.91	$27.67	$42.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.80 / $12.04 / $20.13	Professional	26	$7.80	$12.04	$20.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.44 / $29.62 / $49.57	Professional	TC	$19.44	$29.62	$49.57