Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.77 / $12.78 / $66.20	Facility	26	$12.77	$12.78	$66.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $58.18 / $95.31	Professional		$44.80	$58.18	$95.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.26 / $15.01 / $24.15	Professional	26	$12.26	$15.01	$24.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.66 / $40.18 / $62.74	Professional	TC	$31.66	$40.18	$62.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.70 / $42.60 / $46.35	Professional		$28.70	$42.60	$46.35
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $10.21 / $13.26 / $21.92	Professional	26	$10.21	$13.26	$21.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.90 / $71.19 / $163.19	Professional		$15.90	$71.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $75.18 / $122.03	Professional		$45.46	$75.18	$122.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.09 / $19.26 / $32.03	Professional	26	$11.09	$19.26	$32.03
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.56 / $54.96 / $88.88	Professional	TC	$34.56	$54.96	$88.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $86.61 / $118.02	Professional		$70.09	$86.61	$118.02
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $19.86 / $27.34	Professional	26	$17.09	$19.86	$27.34
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $55.55 / $66.76 / $90.68	Professional	TC	$55.55	$66.76	$90.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $57.89 / $85.02	Professional		$42.95	$57.89	$85.02
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.71 / $14.98 / $57.45	Professional	26	$12.71	$14.98	$57.45
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $36.51 / $45.14 / $74.09	Professional	TC	$36.51	$45.14	$74.09
United Facility/Professional Professional Modifier Low / Median / High Price $45.03 / $64.31 / $107.19	Professional		$45.03	$64.31	$107.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.77 / $17.18 / $28.23	Professional	26	$10.77	$17.18	$28.23
United Facility/Professional Professional Modifier TC Low / Median / High Price $32.11 / $49.35 / $85.88	Professional	TC	$32.11	$49.35	$85.88