Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $11.75 / $48.98 / $81.28	Facility	26	$11.75	$48.98	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $204.17	Professional		$32.36	$51.29	$204.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.71 / $14.13 / $35.48	Professional	26	$8.71	$14.13	$35.48
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.88 / $33.11 / $79.43	Professional	TC	$21.88	$33.11	$79.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.18 / $28.84	Professional		$25.12	$28.18	$28.84
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $9.55 / $15.14	Professional	26	$8.32	$9.55	$15.14
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 $33.11 / $54.95 / $93.33	Professional		$33.11	$54.95	$93.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.32 / $13.80 / $22.91	Professional	26	$8.32	$13.80	$22.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $38.90 / $67.61	Professional	TC	$23.99	$38.90	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $81.28	Professional		$50.12	$60.26	$81.28
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.59 / $14.45 / $19.95	Professional	26	$12.59	$14.45	$19.95
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $38.02 / $45.71 / $61.66	Professional	TC	$38.02	$45.71	$61.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $91.20	Professional		$38.90	$42.66	$91.20
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.33 / $10.96 / $25.12	Professional	26	$9.33	$10.96	$25.12
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $31.62 / $60.26	Professional	TC	$25.12	$31.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $77.62	Professional		$30.90	$44.67	$77.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $11.48 / $20.42	Professional	26	$7.76	$11.48	$20.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.39 / $33.11 / $60.26	Professional	TC	$22.39	$33.11	$60.26