Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $17.38 / $81.28	Facility	26	$10.47	$17.38	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $46.77 / $141.25	Professional		$17.78	$46.77	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $16.98 / $40.74	Professional	26	$10.96	$16.98	$40.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $32.36 / $81.28	Professional	TC	$21.88	$32.36	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $44.67	Professional		$26.92	$36.31	$44.67
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.00 / $12.30 / $21.38	Professional	26	$10.00	$12.30	$21.38
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $29.51 / $40.74	Professional	TC	$21.38	$29.51	$40.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $48.98 / $69.18	Professional		$13.80	$48.98	$69.18
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $8.91 / $8.91	Facility	26	$8.91	$8.91	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $81.28	Professional		$32.36	$47.86	$81.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.77 / $16.22 / $26.92	Professional	26	$9.77	$16.22	$26.92
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.38 / $32.36 / $54.95	Professional	TC	$21.38	$32.36	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $81.28	Professional		$50.12	$58.88	$81.28
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $14.79 / $17.38 / $23.99	Professional	26	$14.79	$17.38	$23.99
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.67 / $41.69 / $57.54	Professional	TC	$34.67	$41.69	$57.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $41.69 / $87.10	Professional		$35.48	$41.69	$87.10
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $13.18 / $33.88	Professional	26	$10.96	$13.18	$33.88
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $28.84 / $58.88	Professional	TC	$24.55	$28.84	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $74.13	Professional		$30.20	$42.66	$74.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.12 / $13.80 / $24.55	Professional	26	$9.12	$13.80	$24.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $28.84 / $52.48	Professional	TC	$19.95	$28.84	$52.48