Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.30 / $8.30 / $46.09	Facility	26	$8.30	$8.30	$46.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $32.89 / $54.34	Professional		$23.59	$32.89	$54.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.67 / $9.44 / $16.38	Professional	26	$7.67	$9.44	$16.38
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $11.75 / $14.99 / $21.57	Professional	52	$11.75	$14.99	$21.57
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.82 / $22.90 / $38.97	Professional	TC	$15.82	$22.90	$38.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $17.37 / $19.00	Professional		$17.37	$17.37	$19.00
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.45 / $7.45 / $9.27	Professional	26	$7.45	$7.45	$9.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.70 / $6.70 / $6.70	Facility	26	$6.70	$6.70	$6.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.27 / $43.30 / $76.23	Professional		$24.27	$43.30	$76.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $12.14 / $20.70	Professional	26	$6.60	$12.14	$20.70
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.32 / $29.49 / $52.77	Professional	TC	$16.32	$29.49	$52.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $40.33 / $55.18	Professional		$33.97	$40.33	$55.18
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.24 / $11.95 / $16.37	Professional	26	$10.24	$11.95	$16.37
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $23.67 / $28.38 / $38.81	Professional	TC	$23.67	$28.38	$38.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $30.94 / $52.63	Professional		$26.00	$30.94	$52.63
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.62 / $8.96 / $21.94	Professional	26	$7.62	$8.96	$21.94
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $18.38 / $21.62 / $38.14	Professional	TC	$18.38	$21.62	$38.14
United Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $34.94 / $62.60	Professional		$22.27	$34.94	$62.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.60 / $10.31 / $18.07	Professional	26	$6.60	$10.31	$18.07
United Facility/Professional Professional Modifier TC Low / Median / High Price $15.67 / $24.85 / $46.32	Professional	TC	$15.67	$24.85	$46.32