Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.83 / $6.84 / $35.92	Facility	26	$6.83	$6.84	$35.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.13 / $30.72 / $57.31	Professional		$22.13	$30.72	$57.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.64 / $7.78 / $12.84	Professional	26	$6.64	$7.78	$12.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.19 / $22.05 / $31.86	Professional	TC	$16.19	$22.05	$31.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $23.16 / $23.16	Professional		$20.07	$23.16	$23.16
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.22 / $7.83 / $10.11	Professional	26	$6.22	$7.83	$10.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.76 / $5.76 / $5.76	Facility	26	$5.76	$5.76	$5.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.27 / $39.22 / $65.78	Professional		$25.27	$39.22	$65.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.85 / $10.35 / $17.20	Professional	26	$5.85	$10.35	$17.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.05 / $26.00 / $42.64	Professional	TC	$17.05	$26.00	$42.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.43 / $46.68 / $64.22	Professional		$34.43	$46.68	$64.22
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.48 / $11.05 / $15.16	Professional	26	$9.48	$11.05	$15.16
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.96 / $35.96 / $49.05	Professional	TC	$29.96	$35.96	$49.05
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $32.70 / $46.99	Professional		$20.58	$32.70	$46.99
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.04 / $8.27 / $14.61	Professional	26	$7.04	$8.27	$14.61
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.59 / $26.63 / $35.61	Professional	TC	$19.59	$26.63	$35.61
United Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $32.81 / $58.03	Professional		$23.43	$32.81	$58.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.10 / $9.36 / $16.23	Professional	26	$6.10	$9.36	$16.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.88 / $25.01 / $44.57	Professional	TC	$16.88	$25.01	$44.57