Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.52 / $12.53 / $66.05	Facility	26	$12.52	$12.53	$66.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $53.00 / $96.59	Professional		$36.92	$53.00	$96.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.51 / $14.60 / $26.05	Professional	26	$12.51	$14.60	$26.05
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $24.55 / $36.86 / $55.90	Professional	TC	$24.55	$36.86	$55.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $36.76 / $47.15	Professional		$24.28	$36.76	$47.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.32 / $11.96 / $22.40	Professional	26	$11.32	$11.96	$22.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $73.45 / $73.45	Professional		$16.25	$73.45	$73.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.23	Facility	26	$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.14 / $64.29 / $101.22	Professional		$40.14	$64.29	$101.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $19.46 / $32.32	Professional	26	$11.00	$19.46	$32.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $26.63 / $44.01 / $74.59	Professional	TC	$26.63	$44.01	$74.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.97 / $72.84 / $99.38	Professional		$60.97	$72.84	$99.38
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.45 / $20.29 / $27.92	Professional	26	$17.45	$20.29	$27.92
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $43.74 / $52.54 / $71.48	Professional	TC	$43.74	$52.54	$71.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $50.04 / $78.31	Professional		$37.97	$50.04	$78.31
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.98 / $15.29 / $43.55	Professional	26	$12.98	$15.29	$43.55
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $31.06 / $36.54 / $61.14	Professional	TC	$31.06	$36.54	$61.14
United Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $57.17 / $93.76	Professional		$39.49	$57.17	$93.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.20 / $17.55 / $29.92	Professional	26	$11.20	$17.55	$29.92
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.36 / $39.70 / $67.20	Professional	TC	$27.36	$39.70	$67.20