Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $181.83 / $442.66	Facility		$45.25	$181.83	$442.66
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.83 / $8.84 / $45.96	Facility	26	$8.83	$8.84	$45.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $34.28 / $72.56	Professional		$23.32	$34.28	$72.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.45 / $21.60	Professional	26	$8.46	$10.45	$21.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $17.07 / $23.10 / $40.82	Professional	TC	$17.07	$23.10	$40.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $25.05 / $36.97	Professional		$17.01	$25.05	$36.97
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.17 / $18.11	Professional	26	$7.94	$10.17	$18.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $245.65 / $249.20 / $433.50	Facility		$245.65	$249.20	$433.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $32.50 / $69.70	Professional		$18.80	$32.50	$69.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.93 / $79.59 / $122.10	Facility		$64.93	$79.59	$122.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.17 / $7.17 / $7.17	Facility	26	$7.17	$7.17	$7.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $43.89 / $72.76	Professional		$27.64	$43.89	$72.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $13.37 / $22.06	Professional	26	$7.66	$13.37	$22.06
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.73 / $27.66 / $45.17	Professional	TC	$17.73	$27.66	$45.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $51.05 / $69.63	Professional		$38.28	$51.05	$69.63
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $14.15 / $19.29	Professional	26	$12.09	$14.15	$19.29
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.76 / $36.90 / $50.34	Professional	TC	$30.76	$36.90	$50.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.75 / $214.08 / $243.38	Facility		$172.75	$214.08	$243.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.72 / $53.00	Professional		$29.51	$34.72	$53.00
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $10.61 / $29.86	Professional	26	$9.02	$10.61	$29.86
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.49 / $24.11 / $36.15	Professional	TC	$20.49	$24.11	$36.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.04 / $38.18 / $63.72	Professional		$26.04	$38.18	$63.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.81 / $12.21 / $20.16	Professional	26	$7.81	$12.21	$20.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.30 / $26.99 / $46.39	Professional	TC	$18.30	$26.99	$46.39