Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.53 / $10.54 / $54.61	Facility	26	$10.53	$10.54	$54.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.11 / $39.72 / $81.59	Professional		$30.11	$39.72	$81.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $10.16 / $12.36 / $19.92	Professional	26	$10.16	$12.36	$19.92
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.95 / $25.28 / $41.49	Professional	TC	$19.95	$25.28	$41.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $32.06 / $43.40	Professional		$32.06	$32.06	$43.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $9.89 / $11.11 / $14.96	Professional	26	$9.89	$11.11	$14.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Professional		$135.00	$135.00	$135.00
AmeriHealth Facility/Professional Professional Modifier 26 Low / Median / High Price $12.75 / $18.30 / $86.00	Professional	26	$12.75	$18.30	$86.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $51.76 / $84.46	Professional		$31.13	$51.76	$84.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $16.01 / $26.35	Professional	26	$9.11	$16.01	$26.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.87 / $35.04 / $55.81	Professional	TC	$21.87	$35.04	$55.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $59.89 / $81.51	Professional		$47.71	$59.89	$81.51
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.92 / $16.34 / $22.21	Professional	26	$13.92	$16.34	$22.21
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.27 / $43.54 / $59.30	Professional	TC	$36.27	$43.54	$59.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $40.64 / $54.92	Professional		$33.82	$40.64	$54.92
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.73 / $12.64 / $36.84	Professional	26	$10.73	$12.64	$36.84
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $28.02 / $44.09	Professional	TC	$23.82	$28.02	$44.09
United Facility/Professional Professional Modifier Low / Median / High Price $29.57 / $41.40 / $73.47	Professional		$29.57	$41.40	$73.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $14.50 / $23.87	Professional	26	$9.02	$14.50	$23.87
United Facility/Professional Professional Modifier TC Low / Median / High Price $21.04 / $31.36 / $54.07	Professional	TC	$21.04	$31.36	$54.07