Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.91 / $39.81 / $72.44	Facility	26	$8.91	$39.81	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $141.25	Professional		$28.18	$42.66	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $13.49 / $33.88	Professional	26	$7.94	$13.49	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $60.26	Professional	TC	$18.20	$25.70	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.30 / $33.11	Professional		$22.91	$26.30	$33.11
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.59 / $11.22 / $19.05	Professional	26	$7.59	$11.22	$19.05
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $17.38 / $17.38 / $24.55	Professional	TC	$17.38	$17.38	$24.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.24 / $7.24 / $7.24	Facility	26	$7.24	$7.24	$7.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $74.13	Professional		$28.18	$44.67	$74.13
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $13.49 / $22.39	Professional	26	$7.76	$13.49	$22.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $29.51 / $51.29	Professional	TC	$18.62	$29.51	$51.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $67.61	Professional		$41.69	$50.12	$67.61
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $11.75 / $13.80 / $18.62	Professional	26	$11.75	$13.80	$18.62
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $30.20 / $36.31 / $48.98	Professional	TC	$30.20	$36.31	$48.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $69.18	Professional		$23.44	$34.67	$69.18
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $10.47 / $22.91	Professional	26	$8.91	$10.47	$22.91
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $25.12 / $56.23	Professional	TC	$20.42	$25.12	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $64.57	Professional		$25.70	$37.15	$64.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $19.95	Professional	26	$7.24	$11.22	$19.95
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.20 / $25.70 / $45.71	Professional	TC	$18.20	$25.70	$45.71