Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.14 / $67.39 / $243.73	Facility	26	$48.14	$67.39	$243.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $219.24 / $564.00	Professional		$130.63	$219.24	$564.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.14 / $58.26 / $104.59	Professional	26	$48.14	$58.26	$104.59
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $79.01 / $119.70 / $224.97	Professional	TC	$79.01	$119.70	$224.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $103.61 / $103.61	Professional		$82.89	$103.61	$103.61
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $41.76 / $49.17 / $115.88	Professional	26	$41.76	$49.17	$115.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $380.25 / $380.25 / $380.25	Professional		$380.25	$380.25	$380.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $256.83 / $473.00	Professional		$114.83	$256.83	$473.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.45 / $70.25 / $118.84	Professional	26	$40.45	$70.25	$118.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $68.98 / $159.29 / $331.10	Professional	TC	$68.98	$159.29	$331.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $161.12 / $212.94 / $650.54	Professional		$161.12	$212.94	$650.54
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.88 / $73.66 / $642.54	Professional	26	$62.88	$73.66	$642.54
Emblem Health Facility/Professional Professional Modifier TC Low / Median / High Price $97.66 / $117.46 / $642.54	Professional	TC	$97.66	$117.46	$642.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $145.06 / $364.79	Professional		$93.71	$145.06	$364.79
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $47.52 / $55.91 / $77.90	Professional	26	$47.52	$55.91	$77.90
Horizon BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $75.79 / $89.16 / $157.31	Professional	TC	$75.79	$89.16	$157.31
United Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $206.52 / $330.45	Professional		$123.98	$206.52	$330.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $64.28 / $111.72	Professional	26	$44.53	$64.28	$111.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $69.94 / $118.21 / $218.94	Professional	TC	$69.94	$118.21	$218.94