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 $22.97 / $31.24 / $57.80	Professional		$22.97	$31.24	$57.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $8.13 / $12.84	Professional	26	$6.64	$8.13	$12.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $23.11 / $34.65	Professional	TC	$16.32	$23.11	$34.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $22.25 / $22.25	Professional		$19.30	$22.25	$22.25
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $6.48 / $7.94	Professional	26	$6.22	$6.48	$7.94
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 $24.89 / $39.45 / $61.52	Professional		$24.89	$39.45	$61.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.12 / $10.44 / $17.59	Professional	26	$6.12	$10.44	$17.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.85 / $28.36 / $45.88	Professional	TC	$17.85	$28.36	$45.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $45.11 / $61.66	Professional		$36.64	$45.11	$61.66
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 $28.39 / $34.06 / $46.50	Professional	TC	$28.39	$34.06	$46.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $30.26 / $47.34	Professional		$25.72	$30.26	$47.34
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $8.27 / $24.55	Professional	26	$7.04	$8.27	$24.55
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.68 / $21.98 / $37.36	Professional	TC	$18.68	$21.98	$37.36
United Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $33.34 / $56.58	Professional		$23.48	$33.34	$56.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.10 / $9.36 / $16.23	Professional	26	$6.10	$9.36	$16.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.48 / $24.51 / $42.52	Professional	TC	$16.48	$24.51	$42.52