Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.71 / $9.71 / $51.81	Facility	26	$9.71	$9.71	$51.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $51.31 / $102.94	Professional		$36.44	$51.31	$102.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.52 / $11.17 / $19.82	Professional	26	$9.52	$11.17	$19.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $27.62 / $37.56 / $57.98	Professional	TC	$27.62	$37.56	$57.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $31.46 / $31.46	Professional		$31.46	$31.46	$31.46
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $10.82 / $16.53	Professional	26	$10.69	$10.82	$16.53
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.88 / $7.88 / $7.88	Facility	26	$7.88	$7.88	$7.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $63.50 / $104.98	Professional		$40.42	$63.50	$104.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.26 / $14.70 / $24.25	Professional	26	$8.26	$14.70	$24.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $29.19 / $44.12 / $73.15	Professional	TC	$29.19	$44.12	$73.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $74.19 / $100.86	Professional		$56.15	$74.19	$100.86
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.81 / $15.01 / $20.43	Professional	26	$12.81	$15.01	$20.43
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $49.25 / $59.18 / $80.44	Professional	TC	$49.25	$59.18	$80.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $50.65 / $74.48	Professional		$43.05	$50.65	$74.48
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.86 / $11.64 / $50.74	Professional	26	$9.86	$11.64	$50.74
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $33.18 / $40.08 / $62.09	Professional	TC	$33.18	$40.08	$62.09
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $55.48 / $94.58	Professional		$37.61	$55.48	$94.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.34 / $13.29 / $22.77	Professional	26	$8.34	$13.29	$22.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.09 / $42.80 / $73.48	Professional	TC	$29.09	$42.80	$73.48