Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.32 / $43.65 / $75.86	Facility	26	$8.32	$43.65	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $114.82	Professional		$22.91	$40.74	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $11.22 / $34.67	Professional	26	$7.08	$11.22	$34.67
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.20 / $33.88 / $54.95	Professional	52	$30.20	$33.88	$54.95
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $15.14 / $23.99 / $63.10	Professional	TC	$15.14	$23.99	$63.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $51.29	Professional		$27.54	$27.54	$51.29
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $7.94 / $18.20	Professional	26	$7.94	$7.94	$18.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $6.76 / $6.76 / $6.76	Facility	26	$6.76	$6.76	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $42.66 / $72.44	Professional		$24.55	$42.66	$72.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.24 / $12.30 / $20.89	Professional	26	$7.24	$12.30	$20.89
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $29.51 / $51.29	Professional	TC	$16.22	$29.51	$51.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $58.88	Professional		$36.31	$43.65	$58.88
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $10.96 / $12.88 / $17.38	Professional	26	$10.96	$12.88	$17.38
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $25.12 / $30.20 / $41.69	Professional	TC	$25.12	$30.20	$41.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $75.86	Professional		$26.92	$31.62	$75.86
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.76 / $9.12 / $21.38	Professional	26	$7.76	$9.12	$21.38
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $19.50 / $22.91 / $56.23	Professional	TC	$19.50	$22.91	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $63.10	Professional		$23.44	$34.67	$63.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.76 / $10.23 / $18.20	Professional	26	$6.76	$10.23	$18.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.22 / $24.55 / $44.67	Professional	TC	$16.22	$24.55	$44.67