Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.11 / $11.12 / $57.40	Facility	26	$11.11	$11.12	$57.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $44.58 / $80.91	Professional		$32.42	$44.58	$80.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.52 / $12.97 / $20.86	Professional	26	$10.52	$12.97	$20.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $31.57 / $46.68	Professional	TC	$22.57	$31.57	$46.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $48.18 / $48.18	Professional		$31.05	$48.18	$48.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $12.72 / $12.72 / $22.11	Professional	26	$12.72	$12.72	$22.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $45.16 / $89.48	Professional		$45.16	$45.16	$89.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.06 / $9.06 / $9.06	Facility	26	$9.06	$9.06	$9.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $56.09 / $87.03	Professional		$35.86	$56.09	$87.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.68 / $16.98 / $28.07	Professional	26	$9.68	$16.98	$28.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.04 / $38.34 / $61.80	Professional	TC	$24.04	$38.34	$61.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.15 / $66.43 / $90.32	Professional		$51.15	$66.43	$90.32
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.05 / $17.68 / $23.97	Professional	26	$15.05	$17.68	$23.97
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 $27.45 / $45.55 / $67.48	Professional		$27.45	$45.55	$67.48
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.27 / $13.60 / $44.59	Professional	26	$11.27	$13.60	$44.59
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $33.92 / $56.00	Professional	TC	$28.83	$33.92	$56.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $51.75 / $83.14	Professional		$35.11	$51.75	$83.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $15.24 / $25.19	Professional	26	$9.90	$15.24	$25.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $35.64 / $62.39	Professional	TC	$24.55	$35.64	$62.39