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 $31.19 / $44.91 / $78.03	Professional		$31.19	$44.91	$78.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.46 / $10.75 / $16.66	Professional	26	$8.46	$10.75	$16.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.74 / $32.22 / $56.30	Professional	TC	$22.74	$32.22	$56.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $26.38 / $26.38	Professional		$24.23	$26.38	$26.38
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $8.53 / $12.93	Professional	26	$7.88	$8.53	$12.93
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 $32.45 / $55.57 / $93.79	Professional		$32.45	$55.57	$93.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.78 / $13.60 / $22.83	Professional	26	$7.78	$13.60	$22.83
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.09 / $39.75 / $67.63	Professional	TC	$24.09	$39.75	$67.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $56.74 / $77.30	Professional		$47.65	$56.74	$77.30
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.09 / $14.15 / $19.29	Professional	26	$12.09	$14.15	$19.29
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.47 / $42.59 / $58.01	Professional	TC	$35.47	$42.59	$58.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $40.32 / $69.81	Professional		$32.84	$40.32	$69.81
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $10.63 / $19.82	Professional	26	$9.02	$10.63	$19.82
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.82 / $29.44 / $46.89	Professional	TC	$23.82	$29.44	$46.89
United Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $44.41 / $77.08	Professional		$31.33	$44.41	$77.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.63 / $11.12 / $19.03	Professional	26	$7.63	$11.12	$19.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.52 / $34.14 / $57.85	Professional	TC	$23.52	$34.14	$57.85