Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.59 / $25.70 / $48.98	Facility	26	$7.59	$25.70	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $70.79	Professional		$18.20	$26.30	$70.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $9.77 / $26.92	Professional	26	$6.03	$9.77	$26.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $16.98 / $38.90	Professional	TC	$12.02	$16.98	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $18.62	Professional		$14.13	$16.98	$18.62
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $7.76 / $14.13	Professional	26	$5.75	$7.76	$14.13
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.80	Professional		$13.49	$13.49	$13.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.01 / $5.01 / $5.01	Facility	26	$5.01	$5.01	$5.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $50.12	Professional		$19.50	$30.20	$50.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.75 / $9.55 / $16.22	Professional	26	$5.75	$9.55	$16.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.59 / $19.05 / $33.11	Professional	TC	$12.59	$19.05	$33.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $45.71	Professional		$28.18	$33.88	$45.71
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.47 / $14.45	Professional	26	$8.91	$10.47	$14.45
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $23.44 / $31.62	Professional	TC	$19.50	$23.44	$31.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $24.55 / $45.71	Professional		$20.89	$24.55	$45.71
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.61 / $7.76 / $16.22	Professional	26	$6.61	$7.76	$16.22
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.13 / $16.60 / $34.67	Professional	TC	$14.13	$16.60	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.70 / $43.65	Professional		$17.78	$25.70	$43.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.50 / $8.32 / $14.13	Professional	26	$5.50	$8.32	$14.13
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.02 / $16.98 / $30.90	Professional	TC	$12.02	$16.98	$30.90