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 / $40.36	Facility	26	$6.83	$6.84	$40.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $27.41 / $63.33	Professional		$19.64	$27.41	$63.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.84 / $8.55 / $16.64	Professional	26	$6.84	$8.55	$16.64
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.00 / $130.00 / $130.00	Professional	50	$130.00	$130.00	$130.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.27 / $18.54 / $31.86	Professional	TC	$12.27	$18.54	$31.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $18.05 / $23.99	Professional		$15.79	$18.05	$23.99
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $7.62 / $12.66	Professional	26	$6.36	$7.62	$12.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $91.50 / $91.50	Professional		$21.67	$91.50	$91.50
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 $19.32 / $35.60 / $63.70	Professional		$19.32	$35.60	$63.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $11.08 / $18.59	Professional	26	$6.36	$11.08	$18.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $12.45 / $23.32 / $40.83	Professional	TC	$12.45	$23.32	$40.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $33.26 / $57.53	Professional		$28.08	$33.26	$57.53
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.88 / $11.53 / $66.39	Professional	26	$9.88	$11.53	$66.39
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $18.16 / $21.74 / $66.39	Professional	TC	$18.16	$21.74	$66.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $28.21 / $43.05	Professional		$23.01	$28.21	$43.05
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.34 / $8.86 / $25.97	Professional	26	$7.34	$8.86	$25.97
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $15.67 / $18.43 / $33.38	Professional	TC	$15.67	$18.43	$33.38
United Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $29.51 / $50.55	Professional		$18.39	$29.51	$50.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.36 / $9.84 / $16.39	Professional	26	$6.36	$9.84	$16.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.32 / $20.65 / $36.99	Professional	TC	$12.32	$20.65	$36.99