Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $7.16 / $7.16 / $40.36	Facility	26	$7.16	$7.16	$40.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $36.95 / $69.34	Professional		$26.42	$36.95	$69.34
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.67 / $8.53 / $16.78	Professional	26	$6.67	$8.53	$16.78
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.13 / $26.90 / $44.45	Professional	TC	$20.13	$26.90	$44.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $27.48 / $43.88	Professional		$23.77	$27.48	$43.88
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $5.63 / $7.32 / $7.92	Professional	26	$5.63	$7.32	$7.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $78.05 / $78.73	Professional		$78.05	$78.05	$78.73
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 $28.23 / $44.86 / $76.77	Professional		$28.23	$44.86	$76.77
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.07 / $10.88 / $18.59	Professional	26	$6.07	$10.88	$18.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $19.89 / $29.15 / $53.84	Professional	TC	$19.89	$29.15	$53.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $51.94 / $76.45	Professional		$39.59	$51.94	$76.45
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $9.51 / $11.09 / $15.25	Professional	26	$9.51	$11.09	$15.25
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $37.44 / $44.96 / $61.22	Professional	TC	$37.44	$44.96	$61.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.39 / $38.11 / $56.37	Professional		$32.39	$38.11	$56.37
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $7.07 / $8.32 / $27.11	Professional	26	$7.07	$8.32	$27.11
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $25.33 / $29.80 / $43.08	Professional	TC	$25.33	$29.80	$43.08
United Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $39.25 / $69.70	Professional		$24.61	$39.25	$69.70
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.21 / $9.56 / $16.34	Professional	26	$6.21	$9.56	$16.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $19.85 / $30.83 / $56.41	Professional	TC	$19.85	$30.83	$56.41