Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.66 / $9.66 / $31.34	Facility	26	$9.66	$9.66	$31.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $38.92 / $73.41	Professional		$28.88	$38.92	$73.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.84 / $10.61 / $20.00	Professional	26	$8.84	$10.61	$20.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.39 / $27.64 / $44.82	Professional	TC	$19.39	$27.64	$44.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $24.59 / $38.01	Professional		$17.47	$24.59	$38.01
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $4.93 / $8.02 / $10.72	Professional	26	$4.93	$8.02	$10.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $40.79 / $72.93	Professional		$40.79	$40.79	$72.93
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $8.11	Facility	26	$8.11	$8.11	$8.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.63 / $49.66 / $79.14	Professional		$29.63	$49.66	$79.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $14.19 / $24.16	Professional	26	$7.54	$14.19	$24.16
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.55 / $34.04 / $56.86	Professional	TC	$20.55	$34.04	$56.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $52.48 / $71.54	Professional		$44.11	$52.48	$71.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $13.68 / $18.64	Professional	26	$11.69	$13.68	$18.64
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $32.33 / $38.79 / $52.90	Professional	TC	$32.33	$38.79	$52.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $36.52 / $57.17	Professional		$30.42	$36.52	$57.17
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $10.61 / $20.62	Professional	26	$9.02	$10.61	$20.62
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $21.40 / $26.46 / $40.04	Professional	TC	$21.40	$26.46	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $37.38 / $65.31	Professional		$27.31	$37.38	$65.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.69 / $12.70 / $20.94	Professional	26	$7.69	$12.70	$20.94
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.05 / $28.92 / $49.59	Professional	TC	$20.05	$28.92	$49.59