Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.21 / $148.41 / $518.49	Facility	26	$119.21	$148.41	$518.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.74 / $425.00 / $627.09	Professional		$233.74	$425.00	$627.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.33 / $118.05 / $140.00	Professional	26	$57.33	$118.05	$140.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $174.74 / $299.00 / $473.80	Professional	TC	$174.74	$299.00	$473.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $44.98 / $116.57 / $116.57	Professional	26	$44.98	$116.57	$116.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.14 / $39.14 / $39.14	Facility	26	$39.14	$39.14	$39.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.14 / $540.40 / $913.45	Professional		$242.14	$540.40	$913.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.42 / $71.37 / $122.10	Professional	26	$40.42	$71.37	$122.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $203.59 / $442.72 / $795.76	Professional	TC	$203.59	$442.72	$795.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $270.62 / $359.61 / $1,351.82	Professional		$270.62	$359.61	$1,351.82
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $63.25 / $74.09 / $100.85	Professional	26	$63.25	$74.09	$100.85
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $206.78 / $248.61 / $337.38	Professional	TC	$206.78	$248.61	$337.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.17 / $251.96 / $590.28	Professional		$214.17	$251.96	$590.28
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.80 / $56.24 / $89.44	Professional	26	$47.80	$56.24	$89.44
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $166.36 / $195.72 / $345.33	Professional	TC	$166.36	$195.72	$345.33
United Facility/Professional Professional Modifier Low / Median / High Price $183.55 / $363.26 / $645.98	Professional		$183.55	$363.26	$645.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.29 / $62.38 / $107.36	Professional	26	$40.29	$62.38	$107.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.22 / $260.94 / $544.16	Professional	TC	$139.22	$260.94	$544.16