Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.84 / $12.85 / $64.52	Facility	26	$12.84	$12.85	$64.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $48.42 / $88.57	Professional		$34.40	$48.42	$88.57
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.23 / $15.09 / $28.72	Professional	26	$12.23	$15.09	$28.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.79 / $34.03 / $49.75	Professional	TC	$22.79	$34.03	$49.75
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $11.82 / $12.95 / $30.69	Professional	26	$11.82	$12.95	$30.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.36 / $37.54 / $70.20	Professional		$22.36	$37.54	$70.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.23 / $10.23 / $10.23	Facility	26	$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $58.79 / $94.67	Professional		$37.40	$58.79	$94.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $19.14 / $31.65	Professional	26	$11.00	$19.14	$31.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.73 / $39.11 / $64.06	Professional	TC	$24.73	$39.11	$64.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $69.51 / $94.91	Professional		$55.76	$69.51	$94.91
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.45 / $20.29 / $27.92	Professional	26	$17.45	$20.29	$27.92
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.99 / $49.23 / $66.98	Professional	TC	$40.99	$49.23	$66.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $41.83 / $70.78	Professional		$28.83	$41.83	$70.78
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $12.67 / $14.91 / $36.07	Professional	26	$12.67	$14.91	$36.07
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $28.83 / $33.92 / $56.00	Professional	TC	$28.83	$33.92	$56.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $53.87 / $88.49	Professional		$36.50	$53.87	$88.49
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.00 / $16.94 / $28.27	Professional	26	$11.00	$16.94	$28.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $25.00 / $37.10 / $61.30	Professional	TC	$25.00	$37.10	$61.30