Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.52 / $10.53 / $33.54	Facility	26	$10.52	$10.53	$33.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $40.65 / $80.73	Professional		$27.51	$40.65	$80.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $12.64 / $26.54	Professional	26	$10.42	$12.64	$26.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.27 / $27.34 / $48.36	Professional	TC	$19.27	$27.34	$48.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $31.34 / $42.31	Professional		$25.07	$31.34	$42.31
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.61 / $11.40 / $19.91	Professional	26	$8.61	$11.40	$19.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $60.00 / $60.45	Professional		$19.88	$60.00	$60.45
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $15.12 / $20.66 / $37.60	Professional	26	$15.12	$20.66	$37.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.82 / $8.82 / $8.82	Facility	26	$8.82	$8.82	$8.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $49.68 / $77.14	Professional		$31.63	$49.68	$77.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.19 / $16.10 / $26.77	Professional	26	$9.19	$16.10	$26.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.85 / $32.28 / $53.53	Professional	TC	$20.85	$32.28	$53.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $58.41 / $79.51	Professional		$45.58	$58.41	$79.51
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.29 / $16.78 / $22.77	Professional	26	$14.29	$16.78	$22.77
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.68 / $41.65 / $56.74	Professional	TC	$34.68	$41.65	$56.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $39.90 / $59.84	Professional		$12.89	$39.90	$59.84
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.69 / $12.58 / $35.88	Professional	26	$10.69	$12.58	$35.88
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.21 / $27.31 / $45.70	Professional	TC	$23.21	$27.31	$45.70
United Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $43.72 / $72.81	Professional		$30.11	$43.72	$72.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.39 / $13.71 / $23.91	Professional	26	$9.39	$13.71	$23.91
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.47 / $30.57 / $51.90	Professional	TC	$20.47	$30.57	$51.90