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 / $56.01	Facility	26	$10.52	$10.53	$56.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $42.21 / $75.48	Professional		$29.01	$42.21	$75.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.27 / $12.80 / $21.37	Professional	26	$10.27	$12.80	$21.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.71 / $28.75 / $44.82	Professional	TC	$19.71	$28.75	$44.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $28.39 / $43.96	Professional		$26.07	$28.39	$43.96
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.25 / $10.95 / $28.63	Professional	26	$10.25	$10.95	$28.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $24.88 / $40.19	Professional		$24.88	$24.88	$40.19
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 $33.51 / $53.63 / $87.97	Professional		$33.51	$53.63	$87.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.80 / $17.05 / $27.49	Professional	26	$9.80	$17.05	$27.49
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.51 / $34.96 / $57.71	Professional	TC	$21.51	$34.96	$57.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $60.70 / $82.57	Professional		$49.31	$60.70	$82.57
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.40 / $18.10 / $24.55	Professional	26	$15.40	$18.10	$24.55
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.47 / $42.59 / $58.01	Professional	TC	$35.47	$42.59	$58.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $41.96 / $65.06	Professional		$35.67	$41.96	$65.06
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.85 / $14.14 / $34.43	Professional	26	$11.85	$14.14	$34.43
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $29.44 / $45.69	Professional	TC	$23.82	$29.44	$45.69
United Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $44.79 / $76.52	Professional		$32.44	$44.79	$76.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.99 / $15.38 / $26.49	Professional	26	$9.99	$15.38	$26.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.31 / $31.36 / $53.35	Professional	TC	$21.31	$31.36	$53.35