Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.83 / $8.84 / $45.96	Facility	26	$8.83	$8.84	$45.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $37.67 / $68.81	Professional		$27.85	$37.67	$68.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $9.98 / $15.88	Professional	26	$8.46	$9.98	$15.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.66 / $27.69 / $38.84	Professional	TC	$19.66	$27.69	$38.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $28.18 / $28.18	Professional		$21.37	$28.18	$28.18
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.30 / $10.16 / $10.16	Professional	26	$8.30	$10.16	$10.16
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.17 / $7.17 / $7.17	Facility	26	$7.17	$7.17	$7.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $49.69 / $80.18	Professional		$31.88	$49.69	$80.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.54 / $13.20 / $22.03	Professional	26	$7.54	$13.20	$22.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.08 / $34.27 / $54.56	Professional	TC	$21.08	$34.27	$54.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.63 / $57.21 / $77.95	Professional		$44.63	$57.21	$77.95
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.69 / $13.68 / $18.64	Professional	26	$11.69	$13.68	$18.64
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.27 / $43.54 / $59.30	Professional	TC	$36.27	$43.54	$59.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $40.61 / $62.00	Professional		$33.13	$40.61	$62.00
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $10.88 / $29.86	Professional	26	$9.02	$10.88	$29.86
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $24.12 / $29.81 / $42.34	Professional	TC	$24.12	$29.81	$42.34
United Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $43.36 / $71.38	Professional		$29.75	$43.36	$71.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.66 / $12.20 / $20.16	Professional	26	$7.66	$12.20	$20.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.19 / $30.10 / $53.36	Professional	TC	$22.19	$30.10	$53.36