Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $190.55 / $302.00	Facility	26	$109.65	$190.55	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $223.87	Professional		$72.44	$112.20	$223.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $45.71 / $70.79 / $165.96	Professional	TC	$45.71	$70.79	$165.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $269.15	Professional		$85.11	$154.88	$269.15
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $53.70 / $100.00 / $204.17	Professional	TC	$53.70	$100.00	$204.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $213.80	Professional		$131.83	$154.88	$213.80
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $85.11 / $102.33 / $138.04	Professional	TC	$85.11	$102.33	$138.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $257.04	Professional		$89.13	$104.71	$257.04
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $64.57 / $186.21	Professional	TC	$54.95	$64.57	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $234.42	Professional		$81.28	$128.82	$234.42
United Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $81.28 / $154.88	Professional	TC	$48.98	$81.28	$154.88