Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.76 / $31.62 / $66.07	Facility	26	$7.76	$31.62	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $141.25	Professional		$29.51	$48.98	$141.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $14.45 / $32.36	Professional	26	$7.94	$14.45	$32.36
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.89 / $30.20 / $77.62	Professional	TC	$20.89	$30.20	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $35.48 / $72.44	Professional		$26.30	$35.48	$72.44
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $8.13 / $10.00 / $10.47	Professional	26	$8.13	$10.00	$10.47
Ambetter Facility/Professional Professional Modifier TC Low / Median / High Price $23.99 / $26.30 / $47.86	Professional	TC	$23.99	$26.30	$47.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $42.66 / $56.23	Professional		$15.14	$42.66	$56.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.17 / $6.17 / $6.17	Facility	26	$6.17	$6.17	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $79.43	Professional		$29.51	$46.77	$79.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $12.02 / $21.38	Professional	26	$7.94	$12.02	$21.38
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.42 / $30.90 / $53.70	Professional	TC	$20.42	$30.90	$53.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $75.86	Professional		$46.77	$54.95	$75.86
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.02 / $14.13 / $19.05	Professional	26	$12.02	$14.13	$19.05
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $33.88 / $40.74 / $56.23	Professional	TC	$33.88	$40.74	$56.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $74.13	Professional		$33.11	$38.90	$74.13
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $9.55 / $11.22 / $19.95	Professional	26	$9.55	$11.22	$19.95
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $23.44 / $27.54 / $57.54	Professional	TC	$23.44	$27.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $67.61	Professional		$26.92	$38.90	$67.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $11.22 / $19.05	Professional	26	$7.24	$11.22	$19.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $28.18 / $50.12	Professional	TC	$19.50	$28.18	$50.12