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 $30.36 / $44.95 / $75.30	Professional		$30.36	$44.95	$75.30
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $10.58 / $18.19	Professional	26	$8.18	$10.58	$18.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.18 / $32.26 / $48.57	Professional	TC	$22.18	$32.26	$48.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $28.98 / $28.98	Professional		$26.60	$28.98	$28.98
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.65 / $9.03 / $23.94	Professional	26	$8.65	$9.03	$23.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $47.63 / $47.63 / $47.63	Professional		$47.63	$47.63	$47.63
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 $34.51 / $56.23 / $95.00	Professional		$34.51	$56.23	$95.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.28 / $13.65 / $22.19	Professional	26	$8.28	$13.65	$22.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.46 / $40.64 / $69.77	Professional	TC	$24.46	$40.64	$69.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $62.30 / $84.78	Professional		$51.82	$62.30	$84.78
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.17 / $15.44 / $20.99	Professional	26	$13.17	$15.44	$20.99
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.02 / $46.86 / $63.79	Professional	TC	$39.02	$46.86	$63.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.78 / $42.09 / $68.78	Professional		$35.78	$42.09	$68.78
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.84 / $11.59 / $34.50	Professional	26	$9.84	$11.59	$34.50
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.93 / $30.51 / $53.83	Professional	TC	$25.93	$30.51	$53.83
United Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $48.04 / $81.26	Professional		$34.09	$48.04	$81.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.19 / $12.62 / $21.58	Professional	26	$8.19	$12.62	$21.58
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $31.39 / $57.58	Professional	TC	$23.67	$31.39	$57.58