Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.20 / $119.21 / $518.49	Facility	26	$119.20	$119.21	$518.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $344.09 / $441.08 / $703.01	Professional		$344.09	$441.08	$703.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.52 / $126.00 / $176.38	Professional	26	$84.52	$126.00	$176.38
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $259.35 / $317.00 / $488.08	Professional	TC	$259.35	$317.00	$488.08
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.00 / $59.00 / $59.00	Facility	26	$59.00	$59.00	$59.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.77 / $566.64 / $965.06	Professional		$290.77	$566.64	$965.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.19 / $105.31 / $177.30	Professional	26	$60.19	$105.31	$177.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $220.17 / $467.57 / $811.46	Professional	TC	$220.17	$467.57	$811.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $402.30 / $535.04 / $1,375.11	Professional		$402.30	$535.04	$1,375.11
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.69 / $111.46 / $1,687.95	Professional	26	$95.69	$111.46	$1,687.95
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $306.00 / $367.98 / $1,687.95	Professional	TC	$306.00	$367.98	$1,687.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.61 / $379.54 / $652.20	Professional		$322.61	$379.54	$652.20
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.80 / $83.29 / $124.91	Professional	26	$70.80	$83.29	$124.91
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $251.81 / $296.25 / $522.70	Professional	TC	$251.81	$296.25	$522.70
United Facility/Professional Professional Modifier Low / Median / High Price $268.49 / $467.45 / $744.67	Professional		$268.49	$467.45	$744.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.42 / $95.74 / $172.81	Professional	26	$62.42	$95.74	$172.81
United Facility/Professional Professional Modifier TC Low / Median / High Price $195.83 / $340.52 / $592.25	Professional	TC	$195.83	$340.52	$592.25