Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.98 / $7.98 / $44.69	Facility	26	$7.98	$7.98	$44.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.98 / $27.58	Professional		$14.79	$18.98	$27.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.98 / $9.53 / $15.66	Professional	26	$7.98	$9.53	$15.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $6.54 / $9.64 / $13.12	Professional	TC	$6.54	$9.64	$13.12
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $17.42 / $17.42	Professional	26	$9.39	$17.42	$17.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.70 / $6.70 / $6.70	Facility	26	$6.70	$6.70	$6.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $28.11 / $48.63	Professional		$15.20	$28.11	$48.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $12.78 / $20.93	Professional	26	$7.07	$12.78	$20.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $6.90 / $14.25 / $27.41	Professional	TC	$6.90	$14.25	$27.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $26.03 / $40.22	Professional		$22.12	$26.03	$40.22
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.36 / $13.29 / $18.14	Professional	26	$11.36	$13.29	$18.14
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $10.68 / $12.74 / $17.67	Professional	TC	$10.68	$12.74	$17.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.47 / $11.32 / $21.11	Professional		$8.47	$11.32	$21.11
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.90 / $16.23 / $29.11	Professional	26	$11.90	$16.23	$29.11
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $7.20 / $8.89 / $21.25	Professional	TC	$7.20	$8.89	$21.25
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.82 / $39.94	Professional		$14.45	$23.82	$39.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.47 / $10.83 / $18.78	Professional	26	$7.47	$10.83	$18.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.98 / $10.43 / $19.57	Professional	TC	$6.98	$10.43	$19.57