Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.98 / $7.98 / $41.64	Facility	26	$7.98	$7.98	$41.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.88 / $32.54 / $64.76	Professional		$22.88	$32.54	$64.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.68 / $9.07 / $17.57	Professional	26	$7.68	$9.07	$17.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.97 / $23.10 / $35.72	Professional	TC	$15.97	$23.10	$35.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $24.91 / $33.58	Professional		$19.93	$24.91	$33.58
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.00 / $7.26 / $19.86	Professional	26	$7.00	$7.26	$19.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $63.66 / $63.66	Professional		$15.60	$63.66	$63.66
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.70 / $6.70 / $6.70	Facility	26	$6.70	$6.70	$6.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $41.17 / $65.66	Professional		$25.37	$41.17	$65.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.82 / $11.97 / $19.93	Professional	26	$6.82	$11.97	$19.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.36 / $28.48 / $47.29	Professional	TC	$17.36	$28.48	$47.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $46.40 / $63.36	Professional		$37.71	$46.40	$63.36
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.57 / $12.34 / $16.88	Professional	26	$10.57	$12.34	$16.88
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $28.39 / $34.06 / $46.50	Professional	TC	$28.39	$34.06	$46.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $32.93 / $50.81	Professional		$27.16	$32.93	$50.81
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.17 / $9.85 / $31.95	Professional	26	$8.17	$9.85	$31.95
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.98 / $23.46 / $39.40	Professional	TC	$18.98	$23.46	$39.40
United Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $34.52 / $59.69	Professional		$25.60	$34.52	$59.69
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.95 / $10.93 / $18.23	Professional	26	$6.95	$10.93	$18.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.86 / $25.45 / $43.19	Professional	TC	$17.86	$25.45	$43.19