Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.57 / $6.57 / $21.23	Facility	26	$6.57	$6.57	$21.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.47 / $30.27 / $71.59	Professional		$20.47	$30.27	$71.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.43 / $7.91 / $22.16	Professional	26	$6.43	$7.91	$22.16
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $21.35 / $35.70	Professional	TC	$15.75	$21.35	$35.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $24.36 / $33.07	Professional		$21.16	$24.36	$33.07
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $6.34 / $10.98	Professional	26	$5.88	$6.34	$10.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $26.35 / $61.31	Professional		$11.00	$26.35	$61.31
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $5.27 / $5.27 / $5.27	Facility	26	$5.27	$5.27	$5.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $38.42 / $63.88	Professional		$24.43	$38.42	$63.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.88 / $10.02 / $16.54	Professional	26	$5.88	$10.02	$16.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $25.77 / $41.46	Professional	TC	$16.59	$25.77	$41.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $44.26 / $62.37	Professional		$33.27	$44.26	$62.37
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.11 / $10.61 / $14.60	Professional	26	$9.11	$10.61	$14.60
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $29.18 / $35.01 / $47.77	Professional	TC	$29.18	$35.01	$47.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $30.65 / $44.44	Professional		$26.05	$30.65	$44.44
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $6.77 / $8.16 / $29.36	Professional	26	$6.77	$8.16	$29.36
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.29 / $23.29 / $36.09	Professional	TC	$19.29	$23.29	$36.09
United Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $33.20 / $55.99	Professional		$22.84	$33.20	$55.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $5.86 / $9.15 / $15.17	Professional	26	$5.86	$9.15	$15.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.94 / $24.62 / $42.87	Professional	TC	$16.94	$24.62	$42.87