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 / $34.40	Facility	26	$6.83	$6.84	$34.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $30.35 / $68.77	Professional		$21.85	$30.35	$68.77
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.37 / $8.42 / $17.98	Professional	26	$6.37	$8.42	$17.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.48 / $19.94 / $34.85	Professional	TC	$15.48	$19.94	$34.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $21.57 / $28.07	Professional		$20.49	$21.57	$28.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.40 / $7.64 / $12.59	Professional	26	$6.40	$7.64	$12.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $60.64 / $60.64	Professional		$15.37	$60.64	$60.64
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $10.34 / $14.16 / $23.72	Professional	26	$10.34	$14.16	$23.72
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 $23.05 / $34.90 / $55.58	Professional		$23.05	$34.90	$55.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.25 / $10.43 / $17.07	Professional	26	$6.25	$10.43	$17.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.51 / $23.74 / $40.04	Professional	TC	$15.51	$23.74	$40.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $42.30 / $59.66	Professional		$32.03	$42.30	$59.66
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.85 / $11.48 / $15.74	Professional	26	$9.85	$11.48	$15.74
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.82 / $32.15 / $43.92	Professional	TC	$26.82	$32.15	$43.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $29.88 / $44.26	Professional		$25.40	$29.88	$44.26
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $8.61 / $24.52	Professional	26	$7.31	$8.61	$24.52
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.07 / $21.27 / $34.24	Professional	TC	$18.07	$21.27	$34.24
United Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $31.04 / $54.57	Professional		$21.48	$31.04	$54.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.27 / $9.89 / $15.76	Professional	26	$6.27	$9.89	$15.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.36 / $22.33 / $41.15	Professional	TC	$15.36	$22.33	$41.15