Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.57 / $8.57 / $47.49	Facility	26	$8.57	$8.57	$47.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $42.36 / $70.66	Professional		$29.55	$42.36	$70.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.27 / $10.87 / $18.76	Professional	26	$8.27	$10.87	$18.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $21.34 / $30.27 / $46.19	Professional	TC	$21.34	$30.27	$46.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $31.31 / $42.40	Professional		$31.31	$31.31	$42.40
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.99 / $9.61 / $14.55	Professional	26	$8.99	$9.61	$14.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $34.85 / $34.85	Professional		$13.02	$34.85	$34.85
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.93 / $6.93 / $6.93	Facility	26	$6.93	$6.93	$6.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $52.14 / $89.29	Professional		$32.72	$52.14	$89.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.53 / $13.94 / $23.58	Professional	26	$8.53	$13.94	$23.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.62 / $35.11 / $57.33	Professional	TC	$22.62	$35.11	$57.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $58.50 / $79.66	Professional		$47.50	$58.50	$79.66
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.57 / $15.91 / $21.63	Professional	26	$13.57	$15.91	$21.63
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 $33.65 / $39.60 / $60.68	Professional		$33.65	$39.60	$60.68
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $10.15 / $11.94 / $22.78	Professional	26	$10.15	$11.94	$22.78
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.52 / $28.40 / $51.43	Professional	TC	$23.52	$28.40	$51.43
United Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $40.51 / $72.27	Professional		$29.36	$40.51	$72.27
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $13.03 / $21.42	Professional	26	$8.44	$13.03	$21.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.16 / $31.80 / $55.77	Professional	TC	$22.16	$31.80	$55.77