Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.29 / $6.29 / $31.60	Facility	26	$6.29	$6.29	$31.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $23.87 / $39.15	Professional		$17.16	$23.87	$39.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.86 / $7.50 / $13.53	Professional	26	$5.86	$7.50	$13.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.30 / $16.39 / $26.63	Professional	TC	$11.30	$16.39	$26.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $16.80 / $16.80	Professional		$14.62	$16.80	$16.80
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.73 / $7.21 / $12.74	Professional	26	$5.73	$7.21	$12.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.92 / $13.92	Professional		$13.46	$13.92	$13.92
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $9.14 / $12.52 / $21.80	Professional	26	$9.14	$12.52	$21.80
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.04 / $5.04 / $5.04	Facility	26	$5.04	$5.04	$5.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $30.66 / $50.67	Professional		$18.84	$30.66	$50.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.56 / $9.52 / $15.63	Professional	26	$5.56	$9.52	$15.63
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.00 / $19.46 / $32.77	Professional	TC	$12.00	$19.46	$32.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $27.70 / $33.78 / $46.37	Professional		$27.70	$33.78	$46.37
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $8.73 / $10.15 / $13.96	Professional	26	$8.73	$10.15	$13.96
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.73 / $23.64 / $32.40	Professional	TC	$19.73	$23.64	$32.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $23.54 / $35.31	Professional		$14.23	$23.54	$35.31
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.46 / $7.79 / $21.54	Professional	26	$6.46	$7.79	$21.54
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $14.23 / $16.73 / $25.53	Professional	TC	$14.23	$16.73	$25.53
United Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $26.74 / $42.91	Professional		$18.66	$26.74	$42.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.70 / $8.74 / $14.48	Professional	26	$5.70	$8.74	$14.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.81 / $17.86 / $29.93	Professional	TC	$12.81	$17.86	$29.93