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 / $48.89	Facility	26	$8.83	$8.84	$48.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $35.18 / $66.73	Professional		$23.66	$35.18	$66.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.18 / $10.03 / $15.58	Professional	26	$8.18	$10.03	$15.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $24.36 / $37.49	Professional	TC	$16.19	$24.36	$37.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $25.90 / $34.93	Professional		$20.72	$25.90	$34.93
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.02 / $9.53 / $21.20	Professional	26	$8.02	$9.53	$21.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $40.22 / $40.22	Professional		$40.22	$40.22	$40.22
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 $27.23 / $45.68 / $75.50	Professional		$27.23	$45.68	$75.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.31 / $13.27 / $22.74	Professional	26	$7.31	$13.27	$22.74
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.47 / $30.03 / $50.94	Professional	TC	$18.47	$30.03	$50.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.59 / $48.25 / $65.84	Professional		$40.59	$48.25	$65.84
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.33 / $13.24 / $18.07	Professional	26	$11.33	$13.24	$18.07
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.18 / $35.01 / $47.77	Professional	TC	$29.18	$35.01	$47.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $51.88	Professional		$28.33	$33.33	$51.88
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.75 / $10.55 / $18.59	Professional	26	$8.75	$10.55	$18.59
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.59 / $23.66 / $40.15	Professional	TC	$19.59	$23.66	$40.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $38.11 / $63.55	Professional		$26.65	$38.11	$63.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $11.69 / $19.77	Professional	26	$7.63	$11.69	$19.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.44 / $26.47 / $44.62	Professional	TC	$18.44	$26.47	$44.62