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 / $44.44	Facility	26	$8.83	$8.84	$44.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.87 / $39.13 / $83.22	Professional		$26.87	$39.13	$83.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $10.45 / $18.32	Professional	26	$8.18	$10.45	$18.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.78 / $28.03 / $43.95	Professional	TC	$18.78	$28.03	$43.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $29.33 / $39.71	Professional		$23.47	$29.33	$39.71
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.26 / $9.43 / $17.69	Professional	26	$7.26	$9.43	$17.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $74.11 / $74.11	Professional		$18.72	$74.11	$74.11
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 $30.31 / $48.47 / $80.18	Professional		$30.31	$48.47	$80.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $13.45 / $21.88	Professional	26	$7.63	$13.45	$21.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.57 / $33.61 / $55.29	Professional	TC	$20.57	$33.61	$55.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.49 / $54.80 / $74.68	Professional		$44.49	$54.80	$74.68
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.05 / $14.10 / $19.22	Professional	26	$12.05	$14.10	$19.22
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.90 / $40.70 / $55.46	Professional	TC	$33.90	$40.70	$55.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.90 / $37.53 / $57.08	Professional		$31.90	$37.53	$57.08
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.30 / $10.95 / $29.86	Professional	26	$9.30	$10.95	$29.86
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $22.61 / $26.60 / $43.38	Professional	TC	$22.61	$26.60	$43.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $41.57 / $68.54	Professional		$29.99	$41.57	$68.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.49 / $11.99 / $20.79	Professional	26	$7.49	$11.99	$20.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.31 / $30.11 / $51.19	Professional	TC	$21.31	$30.11	$51.19